Abstract

The healing reaction of a child after a severe traumatic ocular injury differs from an adult's reaction to a similar injury. Because the child reacts differently, an altered surgical approach is required. Surgical technic and postoperative management must take into consideration the excessive fibrosis which can become, and often is, the one factor that prevents good visual results in children. Correct surgical management of the lens, the vitreous, and the iris are important in preventing fibrotic overgrowth. Other problems requiring particular attention in children with traumatic ocular injuries are tight wound closure, retinal detachment, and postoperative management.