Management of trauma of the anterior segment

Since the introduction of the operating microscope the technique of wound repair has improved from purely reconstructive to preventive principles. In dealing with severe injuries of the anterior segment, the performance of vitrectomy seems to be the main problem. Secondary damage of the vitreous base has to be avoided, especially in children and juveniles. Prophylactic measurements against retinal detachment has proved to be useful. Using a light interference technique, the mode of action of different cutting instruments in the vitreous can be demonstrated. The guillotine technique seems to have the least distant effect. The scheme of surgical treatment has to be adapted to the individual situation and to the capability of the surgeon.