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Work-up

• Rule out open globe injury
  • Mechanism of injury?
  • Seidel test?
  • Consider fundus examination in mydriasis, especially if intraocular foreign body is suspected
    • Ultrasound (not if open globe is suspected!) or high-resolution CT of the orbit for detailed assessment.

Treatment

• Floxal eye drops 3-4 times a day until healed
• < 1 cm, no gaping edges, without involvement of the limbus:
  • Allow spontaneous healing
• > 1 cm, gaping, or involving the limbus:
  • Suture with Vicryl 8-0 thread

Sources

• The Wills Eye Manual: Office and Emergency Room Diagnosis and Treatment of Eye Disease; Nika Bagheri MD, Brynn Wajda MD, et al; Lippincott Williams&Wilkins; 7th Edition (2016)
• Kanski’s Clinical Ophthalmology: A Systematic Approach; Jack J. Kanski MD, Brad Bowling MD; Saunders Ltd.; 8th Edition (2015)