Complex Eyelid Lacerations: Evaluation and Management

Orbit and Oculoplasty

Abstract

Introduction: Lid lacerations may be simple requiring a straightforward repair, or complex, involving tissue defects that may require replacement for proper functioning of the eyelid as well as improve aesthetic appeal. Several procedures using differing tissue sources have been described alongside their advantages and drawbacks. The aim of this review is to present an overview of complex eyelid lacerations, and offer nuggets on systematic evaluation and management

Methods: The current literature on eyelid repair and reconstruction was reviewed. The biases of the author’s practice were also  discussed.

Results: Eyelid anatomy1 , basic principles and goals of repair, simple versus complex lacerations were discussed. Summary of the goals include: to cover/ protect the globe (eye and vision); restore structure and function (position and movements) as well as aesthetics.