Artikel
The timing of intervention in the management of the eye with open globe trauma
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Veröffentlicht: | 18. Juni 2008 |
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Gliederung
Text
The “when” is just an important question in the surgical intervention of eyes with posterior segment injury as is the “what”. Timing (staging) of vitreoretinal surgery is thus crucial as the management strategy is contemplated. Delaying posterior segment surgery beyond two weeks risks the development of irreversible retinal damage; performing it concommitant to wound repair (primary comprehensive reconstruction) is able to treat/prevent many retinal complications but exposes the eye to the threat of major intraoperative hemorrhage. This talks reviews the advantages and disadvantages of early vs. delayed vitreoretinal surgery in eyes with combined anterior and posterior segment injuries.