Exploratory surgery: if still uncertain whether an occult rupture is present, the conjunctiva over the hemorrhage should be opened

Table 2.11.2 (continued) Management issues in eyes with open globe injury.



Decision making:

Is it certain that a full-thickness wound is present?

questions to be answered by the attending ophthalmologist (strategy;

Can an occult rupture be excluded?

Is an IOFB present?

Is this a high-risk injury for endophthalmitis?

see Chap. 1.8)

Can surgery be delayed until general anesthesia becomes available?

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