Penetrating ocular trauma
Penetrating ocular trauma represents a challenging problem due to the variety of potential injuries. Vitreous surgery techniques that 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). The timing of vitreous surgery for 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 operation 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.