Treatment and Disposition

Gentle irrigation to prevent lid edema should be performed after anesthesia. Caustic substances should be avoided. Closure with 6-0 or 7-0 nonabsorbable simple interrupted nylon suture (e.g., Ethilon, Dermalon) or polypropylene (e.g., Surgilene, Prolene) is preferred. Extreme care should be taken to avoid deep penetration of the needle into the globe as it is passed through the skin. Small bites only through the skin layer should be taken. Tissue adhesive is contraindicated near the eye. In the event of inadvertent contact with the eye, copious irrigation and/or application of a petrolatum ointment is indicated. Routine evaluation and treatment of the subsequent corneal abrasion should be followed. Sutures should be removed in 3 to 5 days. A thin layer of antibiotic ointment may be applied in place of a dressing.

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