Lid Laceration

Lid Laceration

Lid Laceration Lid Laceration

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Question 1 of 4

1. Question
What is the most appropriate initial management?
- Apply pressure on the eye to stop the bleeding prior to examining the globe
- Put on a shield to protect the eye and refer to ophthalmology
- Close the wound with 6.0 suture to stop the bleeding and re-examine the globe
- Obtain an urgent MRI to assess for further soft tissue and globe injury
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Question 2 of 4

2. Question
On closer inspection of the eyelid laceration, you suspect injury to the lacrimal system.

Which of the following are features suggestive of lacrimal system injury? (Select all that apply)
- Avulsion of the puncta
- Eyelid laceration medial to punctum
- Eyelid laceration lateral to punctum
- 360 degree conjunctival haemorrhage
Correct

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Question 3 of 4

3. Question
Which of the following should be a consideration when assessing a patient with a lid laceration?
- The presence of foreign bodies
- The risk of tetanus
- Accompanying globe rupture
- All of the above
- None of the above
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Question 4 of 4

4. Question
The bleeding settles and you notice there is evidence of a laceration to the conjunctiva or sclera.

You also suspect injury to the globe. Which investigation would be most appropriate?
- Orbital X-Ray
- Tonometry
- Orbital CT
- Orbital MRI
Correct

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