Eyelid and adnexal injuries can be a part of multisystem trauma. The basic ABCs of the trauma management should be considered first, once the patient is stable, attention could be directed to the eyelid injuries. The patient should be evaluated for any globe or optic nerve injuries. Circumstances of the injury can help determine the type and extent of the trauma. The mechanism of injury can give an idea about the depth of the wound as well as the possibility of foreign body presence. Examination should include evaluation of the globe, adnexal tissue, orbit and face. If the patient is conscious and cooperative, visual acuity, pupillary responses, intraocular pressure measurement as well as dilated fundus examination should be performed. Sometimes examination under anesthesia can be done to avoid further globe injuries during manipulation of the eyelid. Orbital imaging with CT is requested when orbital wall fracture or presence of foreign body is suspected. The wound should be closed as soon as possible. Any globe injuries should be addressed first. Lid wound repair could still be delayed up to 48 hours following trauma without jeopardizing the outcome. Wounds can vary like there can be wounds in which there is no or minimal tissue loss, wounds with significant tissue loss. There can be wounds associated with canalicular injuries or with canthal tendon injuries. Burns of the eyelid are rare. They can be due to thermal, chemical or electric current injuries. They usually occur in patients who have suffered significant burns over a large surface area of the body. Topical antibiotics, topical steroids and cycloplegics are administered. An amniotic membrane scleral shell could be also applied.