What factors guide the choice between early versus delayed vitrectomy after an open globe injury?

The vitrectomy should be performed as early as possible in the presence of endophthalmitis or a posterior segment IOFB. The timing of retinal detachment repair (RDR) after open globe injury is controversial. The biggest risk of delaying RDR is the progressive development of proliferative vitreoretin...

Early vitrectomy should also be considered in Z2 and Z3 injuries before the onset of a PVD with subsequent RD or retinal breaks. Patients with ruptured lenses from penetrating ocular injuries should also undergo early PPV, especially if the integrity of the posterior capsule cannot be confirmed, as ...