Ahmad Mansour, MD

Traumatic injury to the eye is an ocular emergency and may often require surgical intervention to repair and preserve the globe and to retain or improve the visual acuity. The injury can cause anterior and/or posterior segment tissue damage, and the surgical correction has always aimed at re-establishing the normal globe anatomic architecture. However, the question arises as to when the posterior segment surgery should be performed — namely, at the time of initial repair or in a two-stage repair, in which the primary procedure is to close all tissue disruptions, such as corneal and scleral lacerations, while procedures such as posterior vitrectomy are carried out at a later date.