How many surgeries are required for an eye trauma with a ruptured eyeball?

Patient: Description of disease (onset time, main symptoms, hospitalization, etc.): Patient male, 60 years old, on January 3, 2012, due to splitting wood at home, accidentally broke his eyeball, and that night he had an operation to suture his eyeball. The swelling went down in about 3-5 days after the suture, but he could not see anything and could only feel light. Now the doctor is asking for a second surgery and says he will have to do it a third time. The second surgery is to clean up the stasis, and retinal correction. Can I see you? Is it possible to have three surgeries for eye trauma? Can you give some treatment suggestions? Wang Jinxing, Ophthalmology Department, Affiliated Hospital of Ningxia Medical College, Ningxia, China: Hello, your condition is the presence of vitreoretinal injury, commonly traumatic vitreous blood and retinal detachment, eye rupture injury after a period of 10 to 15 days after the suture should be further vitrectomy and retinal detachment reset surgery, the operation according to the specific circumstances of the eye to be done by laser photocoagulation and expansion of the gas filling, or silicone oil filling surgery, the purpose is to rely on the gas or silicone oil top pressure to promote the gas or silicone oil to promote the retina to the top pressure. The purpose of the surgery is to promote the regrowth of the detached retina to attach to the wall of the eye by the top pressure of the gas or silicone oil. The gas will be gradually absorbed during the gas filling surgery, and a second surgery is not required. However, in the most common case of silicone oil filling, a third surgery is required to remove the silicone oil after 3 to 4 months. If there is also damage to the lens (traumatic cataract), there is also the possibility of surgery. In conclusion, your condition requires a relatively long process, which needs to be resolved gradually in 2 to 3 stages. Jinxing Wang, Department of Ophthalmology, General Hospital of Ningxia Medical University, China