Refer patient to an equine surgical facility for laceration repair.
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The wound is small and appears uncomplicated. The farm veterinarian can handle this.
Take horse to the barn, sedate, and prepare to repair laceration while the horse is standing.
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Standing procedures eliminate risks associated with general anesthesia, especially during recovery.
Swab wound and evaluate with cytology.
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This is not necessary; the wound is open and presumably has inflammatory cells and infectious agents present.
Perform an auriculopalpebral nerve block to provide local analgesia to the surgical field.
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This block affects motor function of the orbicularis oculi muscle that controls blinking. It could be done to limit eyelid movement during surgery if the eyelid was also lacerated.
Perform a line block with 2% Lidocaine around as much of the wound as possible to provide local analgesia to skin.
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This will minimize reaction during the repair.
Prepare periocular region for surgery: clean, shave hair, debride and explore wound.
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Proper preparation is important for successful delayed closure and wound healing.
Close wound with careful placement of sutures to avoid corneal abrasion.
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Wound is close to the eye and external suture ends could cause damage.
Apply dressing and leave the wound to close by secondary intention.
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The wound is relatively fresh, and surgical repair should lead to a better cosmetic result.