Penetrating
ocular trauma represents a challenging problem
due to the variety of injuries. Vitreous surgery
techniques which were first developed for repair
of damage caused by complications of diabetes can
be used to repair many cases of ocular injury (penetrating
ocular trauma). Timing of vitreous surgery is these
problems is crucial. If the injury is severe, the
eye is usually stabilized with an initial operation
to close the laceration of the wall of the eye.
Ten days to two weeks later, a second operations
is often needed to repair intraocular damage such
as vitreous hemorrhage or retinal detachment. In
some cases, it is possible to repair both the laceration
and intraocular damage at the same time. Surgery
for ocular trauma must be tailored specifically
to the type of injury since each injury is unique.
The chance of visual recovery depends usually on
the severity of the initial injury and also depends
on whether or not there is an associated intraocular
infection.
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