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Penetrating Ocular Trauma
by Richard Scartozzi, M.D.
Many different ocular injuries can occur with penetrating ocular trauma. These include vitreous hemorrhage, retinal detachment, retinal scar tissue formation, cataract/lens capsule rupture, among others. Often times the eye is stabilized with an initial surgery to repair the laceration site in the eye wall. Once the eye is stabilized, often ten to fourteen days after the initial injury, vitrectomy surgery with or without scleral buckle surgery may need to be performed. Sometimes this can be done during the initial laceration repair, but it usually must wait. If there is an intraocular foreign body or an intraocular infection (endophthalmitis), then vitrectomy surgery is usually done sooner. The prognosis for vision or for keeping the eye in general depends completely on the severity of the injury.
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