Lacerations in horses are common and vary in severity. Simple lacerations are best managed with standing surgery to avoid the risks associated with general anesthesia. Supervised recovery of the transition from recumbency to standing can minimize risks of additional injury, if it can be done safely for the handlers. Use of local nerve blocks (for motor or pain control) and analgesia of the skin around the wound helps to minimize reactions from the sedated but conscious standing patient. Perioperative treatment with nonsteroidal anti-inflammatories and broad-spectrum antibiotics is indicated. Injuries near the prominent globe of the eye could cause corneal damage, which is important to rule out or treat as needed. Protecting the repaired laceration and monitoring for complications is also key to a successful outcome.
Links to Section in MVM:
Equine Trauma and First Aid: Wounds and Lacerations; Ocular Injurie
Wound Management
The Neurologic Evaluation in Horses
Overview of Ophthalmic Emergencies
Eye Structure and Function in Horses
Reference
de Linde Henriksen M, Brooks DE: Standing ophthalmic surgeries in horses. Vet Clin North Am Equine Pract 2014 Apr;30(1):91-110. DOI: 10.1016/j.cveq.2013.11.012