Giampaolo Gini, MD (Prato, Italy)


How far have surgical improvements taken us in repairing retinal damage following severe ocular trauma and what limitations do we still face today?


The paper aims at presenting a variety of clinical cases, each representative of a particular form of retinal detachment consequent to an open globe injury. The management options for each are discussed.


One of the main challenges facing the surgeon dealing with open globe injuries is retinal detachment. This may occur as a result of retinal incarceration in a scleral wound or at a later date as fibrotic reactions develop. Although each trauma case has peculiarities of its own, establishing general guidelines and a mental framework in which to move will help surgeons cope with such diverse situations. The different forms of retinal detachment arising from severe trauma have been classified according to the mechanisms involved in their determination and treatment options are discussed.


Today’s surgical skills can tackle many forms of retinal detachment associated with trauma, provided that timely and adequate treatment is provided. However, we still do not have efficient ways of modulating tissue response and this is where our research efforts should be concentrated.