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.
Key words
pathology - trauma - rupture of the globe
