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DOI: 10.1055/a-1233-8997
Rupture of the Globe: What to Do, What not to Do
Artikel in mehreren Sprachen: English | deutsch![](https://www.thieme-connect.de/media/klimo/202009/lookinside/thumbnails/10-1055-a-1233-8997_kl2217_en-1.jpg)
Abstract
Due to their complexity, globe ruptures are highly compromising traumas for the patient. This is due on the one hand to the eye injury itself with the accompanying loss of vision and on the other hand due to the need for extended treatment with uncertain prognosis and the resulting psychological stress. Globe ruptures are among the prognostically most unfavorable injuries due to the force and peak pressure impacting the eye. Furthermore, contusional retinal necrosis may be of significance prognostically. In the present review, we discuss treatment of globe ruptures involving retinal surgery. We discuss the primary sugery, its chronological planning and extent as well as the necessity for follow-up interventions. We also discuss the origin of traumatic retinal detachment with differential diagnosis of giant retinal tear versus oradialysis as well as secondary sequelae of traumas such as formation of macular holes and their treatment. On this basis, the use of buckling surgery versus pars-plana vitrectomy is discussed. Further focus is set on the role of the iris lens diaphragm in surgery of globe ruptures.
Publikationsverlauf
Eingereicht: 17. Juni 2020
Angenommen: 04. August 2020
Artikel online veröffentlicht:
23. September 2020
© 2020. Thieme. All rights reserved.
Georg Thieme Verlag KG
Stuttgart · New York
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