Conjunctival Laceration

 

Clinical features:

  • May be isolated or part of more severe intraocular injuries.
  • Symptoms: ocular irritation, pain and foreign body sensation.
  • Signs include chemosis, subconjunctival hemorrhage and torn conjunctiva.

Work up:

  • Thorough eye examination under topical or general anesthesia includes dilated fundus examination to rule out intraocular foreign body.
  • Seidel test to rule out open globe injury.
  • Ultrasonography.
  • CT scan to rule out intraocular foreign body.

Management:

  • Observation.
  • Prophylactic topical antibiotics for small lacerations.
  • Surgical repair may be required for large lacerations.