Which one of the following should be avoided in the management of a ruptured globe?

In the management of a ruptured globe, encouraging eye movement should be avoided as it can exacerbate the injury. When a globe is ruptured, the integrity of the eye is compromised, which can lead to additional trauma or displacement of ocular structures. Movement can increase the risk of further damage, including worsening the rupture or causing the loss of vitreous and other intraocular contents.

In contrast, maintaining a sterile environment is crucial to prevent infection, applying a patch helps shield the eye from further injury and exposure, and the judicious use of topical anesthetics can aid in managing pain, though their use must be weighed against potential complications. All these actions support stabilization and protection of the eye, while eye movement directly contributes to further risk and complications associated with the rupture.