Principles and surgical techniques for surgical treatment of trauma around the eye, especially laceration of the eyelid

👁 Eyelid Laceration After IPV – Surgical Principles & Tips

Intimate Partner Violence (IPV) often leads to facial trauma,
and up to 45% involve the periocular area, especially eyelid lacerations.

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💡 Key Surgical Principles

TopicSummary

Early repair	Prevents corneal exposure & infection
Minimal debridement	Retain vascularized tissue
Lid margin repair	Precision essential to avoid notching
Tension-free closure	Skin should be approximated without pull
Infection control	Antibiotic ointment ± systemic antibiotics & tetanus prophylaxis

 

 

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🧵 For Complex Marginal Lacerations

• Repair both anterior & posterior lamellae
• Precise alignment of the tarsal plate & gray line
• Use non-absorbable sutures on margin, absorbable for deep tissue
• Follow a multi-step suture technique (alignment, tarsal bite, skin)

 

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✅ Summary

• IPV-related eyelid injuries demand immediate, layered repair
• Marginal lacerations need skillful anatomic alignment
• Sutures on eyelid margin should stay 10–14 days