Management of Open Globe Injuries

The vitreoretinal surgeon should be the one who handles most cases of severe trauma, and all cases that involve the posterior segment. He should be the one who sutures the cornea if any tissue at or behind the iris is involved. This is a recommendation not because anterior segment surgeons would be incapable of handling the cornea, iris, or the lens – but because of the time pressure represented by injury to the deeper structures to the eye. The vitreoretinal surgeon must therefore be a master in suturing the cornea, not only the sclera, removing blood from any cavity in the eye, treat traumatic cataract or (sub)luxation of the lens and the IOL. He should be able to formulate an individualized plan for each patient, and be the one handles the most difficult cases such as traumatic endophthalmitis or TKP-PPV.