W. Va. Code R. § 85-20-28

Current through Register Vol. XLI, No. 50, December 13, 2024

Section 85-20-28 - Treatment Guidelines: Eyelid Laceration

28.1. Eyelid lacerations may occur from blunt injuries or from laceration by a sharp object. They may involve only skin, eyelid muscles, eyelid margin, and the lacrimal drainage system and may be associated with an orbital foreign body.

28.2. The diagnostic criteria consists of laceration and bleeding, which may be profuse.

28.3. The appropriate diagnostic tests and examinations consist of a comprehensive examination including a visual acuity and a slit lamp examination to rule out an additional injury. A dilated fundus examination may be conducted when indicated.

28.4. Appropriate treatment is as follows:

a. Outpatient treatment is appropriate for uncomplicated lacerations. Sutures are generally removed in one to two weeks and medication may include antibiotics and analgesics.

b. Inpatient treatment is appropriate for injuries involving the lacrimal drainage system or those penetrating the orbit. The surgical repair may or may not require general anesthesia. Intravenous antibiotics are often indicated. Depending on the severity of the injury and overall condition of the injured worker, a one to two day hospital stay may be required. Medications may include topical, oral or parenteral antibiotics and analgesics.

28.5. In uncomplicated cases the injured worker is expected to return to full work within two weeks with medical follow- up in four weeks. Damage to the eyelid muscles resulting in traumatic ptosis may require six to twelve months to resolve, or may ultimately require surgical repair.

28.6. The anticipated outcome is full recovery.

W. Va. Code R. § 85-20-28