Penetrating ocular injuries that cause lid lacerations have to be carefully explored
The injuries may range from simple laceration to globe perforation and injury to the lacrimal system
History of blunt objects contusions to the periorbital region may raise the suspicion of countercoup retinal problems and blowout fractures of the orbit
Work Up
A possible foreign body embedded within the lacerated lid and the globe has to be ruled out
Thorough ophthalmologic examination is crucial as the condition permits
Orbital X-ray, CT-scan, or ultrasonography is sometimes required for further diagnostic purposes
Management
Should not always be carried out as an emergency procedure
Delayed repair for up to 48 hours is especially beneficial for lacerations with significant risk of infection or contamination