Authors: Cesare Forlini, Matteo Forlini, Paolo Rossini, Ravenna, Italy

Advantages:

Presenting the “pole to pole” surgical strategy as a reconstruction in trauma cases using multiple procedure surgery all in a single operation. It is important for the ophthalmologist to develop strategic thinking so that it can be used systematically in different cases.

Methods:

The introduction of mini-invasive surgery allows the trauma surgeon to approach complex cases with different and suitable weapons such as high speed and miniaturized vitreous cutters, transconjunctival xenon light and chandeliers for bimanual surgery, illumined tools. All these new instruments help to achieve a better anatomical and functional result, reducing the risk of iatrogenic damages and post-op inflammation.

Effectiveness / Safety:

In case of eye injuries where it is necessary to develop a global strategy, according to a strategically planned approach, it is important that the surgeon is able to manage the entire procedure according to a bidirectional and not monodirectional model, that is “dancing” inside the eye, moving from the anterior to the posterior segment.

Take home message:

The Treatment of complex ocular trauma needs experience, instrumentation and a flexible and open mind.