Emergency War Surgery NATO Handbook: Part IV: Regional Wounds and Injuries: Chapter XXIV: Wounds and Injuries of the Eye

Management: Major Injuries: Lacrimal Secretory System

United States Department of Defense
Peer Review Status: Internally Peer Reviewed

Lacrimal Secretory System. It is necessary to recognize a prolapsed orbital lobe of the lacrimal gland, distinguishing it from normal orbital fat. The orbital lobe of the lacrimal gland is pinkish-gray in contrast to the creamy-yellow color of orbital fat. The prolapsed orbital lobe should be irrigated and reposited in its fossa by means of a 4-0 chromic suture passed through the lobe and the periosteum lining the fossa. 

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