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Management of Posterior Segment Trauma

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Albert and Jakobiec's Principles and Practice of Ophthalmology

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Abstract

Eye trauma is an important cause of visual impairment worldwide. Injuries involving the posterior segment are varied and can be broadly categorized as either open or closed globe injuries, depending on the presence or absence of a full-thickness defect in the eye wall. Closed globe injuries include lens dislocation; traumatic macular hole; choroidal rupture; commotio retinae; sclopetaria; retinal tear, dialysis, and detachment; and optic nerve avulsion. Open globe injury (OGI) can be further classified by mechanism and wound location and carry additional risk of complications such as post-OGI retinal detachment, traumatic endophthalmitis, ocular siderosis, and sympathetic ophthalmia. Prompt identification of OGI is a crucial first step in evaluation of an eye trauma to allow for early surgical repair. While there remains no effective treatment for some traumatic injuries to the retina, choroid, and optic nerve, improvement in microsurgical techniques has created opportunities for vision and/or eye-saving interventions. With advances in pars plana vitrectomy techniques, many eyes that would have otherwise been lost can now be saved and meaningful vision restored. The following chapter describes both common and rare posterior segment manifestations of eye trauma and current management recommendations.

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Authors and Affiliations

  1. Department of Ophthalmology, University of Washington, Seattle, WA, USA

    Ariel J. Tyring & Yewlin E. Chee

Authors
  1. Ariel J. Tyring
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  2. Yewlin E. Chee
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Correspondence to Yewlin E. Chee .

Editor information

Editors and Affiliations

  1. Casey Eye Institute, Oregon Health & Science, Portland, OR, USA

    Daniel M. Albert

  2. Department of Ophthalmology, Massachusetts Eye and Ear, Massachusetts General Hospital, Brigham and Women’s Hospital, Harvard Medical School, Boston, MA, USA

    Joan W. Miller

  3. Department of Ophthalmology, University of Illinois College of Medicine, University of Illinois at Chicago, Chicago, IL, USA

    Dimitri T. Azar

  4. Department of Ophthalmology, Massachusetts Eye and Ear, Harvard Medical School, Boston, MA, USA

    Lucy H. Young

Section Editor information

  1. Massachusetts Eye and Ear, Boston, USA

    Dean Eliott

  2. Massachusetts Eye and Ear, Boston, USA

    Demetrios Vavvas

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Tyring, A.J., Chee, Y.E. (2022). Management of Posterior Segment Trauma. In: Albert, D.M., Miller, J.W., Azar, D.T., Young, L.H. (eds) Albert and Jakobiec's Principles and Practice of Ophthalmology. Springer, Cham. https://doi.org/10.1007/978-3-030-42634-7_105

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  • DOI: https://doi.org/10.1007/978-3-030-42634-7_105

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