Is primary comprehensive reconstruction or a staged approach best for an open globe injury involving the posterior segment?

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The optimal timing of vitreoretinal surgical intervention in open globe injuries involving the posterior segment remains controversial. Early intervention has the potential benefit of removing the scaffolding for fibrous proliferation that leads to tractional retinal detachment and proliferative vitreoretinopathy. Early intervention, however, can be more challenging for the surgeon due to leakage from fresh wounds, increased risk for uncontrollable bleeding and a higher risk for hemorrhagic choroidal detachment. Additionally, the

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