Traumatic injuries to the eye can lead to severe retinal
problems. A direct blow to the eye may cause vitreous hemorrhage
and/or retinal detachment. Pieces of metal, or other materials,
called "intraocular foreign bodies", may penetrate the sclera and
cause retinal detachment, vitreous hemorrhage, or severe
infection in the eye. Even if they don't cause immediate
problems, certain metallic foreign bodies may be toxic and can
eventually destroy the eye if they remain in place. If the eye
is penetrated by a sharp object, scar tissue can form along the
track of the object, as well as on the retinal surface. The scar
tissue can pull on and detach the retina (traction retinal
detachment).
In cases where trauma has caused retinal problems, vitrectomy may
save vision. In some cases, the goal is to remove the
intraocular foreign body or blood (vitreous hemorrhage) and
repair the damage to the retina with laser or cryo (freeze treatment). In other
cases, vitrectomy removes scar tissue from the surface of the
retina, or prevents traction retinal detachment from occurring.
The timing of the surgery, and the specific techniques used, will
depend on the type of trauma that the eye has suffered. Your
surgeon will counsel you about this and talk to you about your
chances of saving the eye and vision. Your surgeon will also
tell you about the complications of this surgery, the most
important of which are loss of all vision and even the eye.
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