EyeRounds Online Atlas of Ophthalmology
Contributor:
Jordan M. Graff, MD and Lynn E. Fraterrigo, MD, University of Iowa
Category: Trauma
Diagnosis: Lid Margin laceration

Image Comments:
This patient suffered multiple facial lacerations in a motor vehicle crash. Full thickness lid margin lacerations like this require special care in order to avoid notching of the lid. Lamellar tarsal sutures should be used to restore the normal anatomy of the tarsus. Vertical mattress sutures in the lid margin will approximate the wound edges while providing slight wound eversion to avoid notching as the wound heals.



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