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Eyelid lacerations are cuts to the eyelid. They are caused by trauma.
The most common causes in children include dog bites and handlebar injuries. They also include collisions with sharp objects while running. Sharp objects can include sticks, thorns, retail display hooks, and nails.
In teens, the most common causes include trauma from fist fights, eye gouging, and ball sports.
Males are more likely to get this injury than females.
Symptoms can occur a bit differently in each child.
Some lacerations only affect the eyelid. Your child’s only symptom may be bleeding. Other lacerations may affect the eye itself.
Your child should see a healthcare provider right away if he or she has any signs of an eyelid laceration.
Your child's healthcare provider will look closely at your child’s eye to check for damage. Your child may need to see an eye doctor for further evaluation.
Treatment will depend on your child’s symptoms, age, and general health. It will also depend on how severe the condition is.
If your child’s healthcare provider says the laceration is simple, he or she will stitch (suture) it. Before your child gets stitches, he or she may need local numbing medicine (anesthetic drops) in the eye. These drops may also be injected into surrounding tissue. Younger or uncooperative children may need medicine to calm them (sedation) or general anesthesia before getting stitches.
If your child has a large laceration, he or she will need to be checked by an eye doctor. Your child may also need to see an eye doctor if the laceration affects his or her eye.
If your child has a full-thickness lid laceration, he or she may need plastic surgery. This is done if the laceration affected your child’s eye muscles or other parts of the eye.
Tips to help you get the most from a visit to your child’s healthcare provider:
Bayhealth is Southern Delaware’s healthcare leader with hospitals in Dover and in Milford. Bayhealth provides a wide range of medical services, including cardiovascular, cancer, orthopaedics and rehabilitation, pediatrics, respiratory care, sleep care, surgical weight loss and women’s services.