FIGURE 130.17 Eyelid retraction Lid retraction is preferred over eversion with a cotton-tipped applicator if there is any concern about a traumatic rupture of the globe This is because eversion tends to place some pressure on the eyeball and may lead to extrusion of intraorbital contents If the clinician is unable to perform retraction easily or if there is concern for potential globe rupture, emergent ophthalmologic consultation is required CONTACT LENS REMOVAL