Conjunctival laceration
Background
- From penetrating injury to the ocular surface
Clinical Features
- Conjunctivae have less innervation than cornea so far less symptomatic
- Full-thickness defect in the conjunctiva
- Chemosis
Differential Diagnosis
Unilateral red eye
- Acute angle-closure glaucoma^
- Anterior uveitis
- Conjunctivitis
- Corneal erosion
- Corneal ulcer^
- Endophthalmitis^
- Episcleritis
- Herpes zoster ophthalmicus
- Inflamed pinguecula
- Inflamed pterygium
- Keratoconjunctivitis
- Keratoconus
- Nontraumatic iritis
- Scleritis^
- Subconjunctival hemorrhage
- Orbital trauma
^Emergent diagnoses
^^Critical diagnoses
Evaluation
- Eye Exam
- Confirm negative seidel's sign (rule out globe rupture) and no traumatic hyphema
- CT orbit
Management
Simple
- All of the following:
- Superficial
- Not associated with any other serious intraorbital or ocular injury
- Small (<1 cm)
- Erythromycin ophthalmic ointment and ophtho referral
Complex
- Discuss with ophthalmology
Disposition
- Simple: Outpatient
- Complex: Discuss with ophtho
See Also
External Links
References
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