Ocular Injury Reduction From Ocular Protection Use in Current Combat Operations

Thomas, R. L.; McManus, John; Johnson, Anthony J.; Mayer, Paul M.; Wade, Charles E.; Holcomb, John B.

doi:10.1097/ta.0b013e31819d8695

Cited by 52 publications

(39 citation statements)

References 12 publications

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“…The anatomic distribution of the wounds matched the bulletproof vests and helmets worn by the soldiers: almost all of them suffered lower and upper extremity wounds, with the head, chest, and abdomen involved to a much lesser extent [17]. The high rate of ocular injuries reflects the soldiers' consistent failure to use protective eyewear: soldiers reportedly prefer not to use protective eyewear because it limits their field of vision [18], thus ocular injuries which can be prevented have devastating consequences [19].…”

Section: Discussionmentioning

confidence: 96%

Incidence and severity of ocular and adnexal injuries during the Second Lebanon War among Israeli soldiers and civilians

Barak¹,

Elhalel

Pikkel

et al. 2011

Graefes Arch Clin Exp Ophthalmol

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The incidence and severity of ocular and adnexal injuries among military personnel during the Second Lebanon War were consistent with previous reports from American sources of ocular injuries sustained in Iraq and Afghanistan. The rates of ocular injury associated with wartime events sustained by civilians has not been investigated before, and it was relatively low, probably as a result of stringent government-mandated building regulations for passive defense that are discussed.

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Section: Discussionmentioning

confidence: 96%

Incidence and severity of ocular and adnexal injuries during the Second Lebanon War among Israeli soldiers and civilians

Barak¹,

Elhalel

Pikkel

et al. 2011

Graefes Arch Clin Exp Ophthalmol

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“…A recent study found reduced eye injury rates from 26% of those without eye protection to 17% among those using it. 18 We managed the challenge of providing highly technical eye care to service personnel in two theatresof-war. This has been through good teamwork with the deployed hospitals and the aeromedical evacuation services.…”

Section: Discussionmentioning

confidence: 99%

Ophthalmic injuries in British Armed Forces in Iraq and Afghanistan

Blanch

Bindra

Jacks

et al. 2010

Eye

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Outcomes assessed by final best-corrected visual acuity (VA; few patients lost to follow-up), rates of endophthalmitis, and proliferative vitreoretinopathy (PVR). Results There were 630 cases of major trauma, 63 sustained eye injuries (10%), and 48 sustained significant eye injuries. There were 21 open-globe injuries: 9 ruptures and perforating injuries, of which 7 were enucleated/eviscerated; 11 intraocular foreign body (IOFB) injuries, of which 1 was eviscerated. Primary repair was combined with posterior segment reconstruction in 9/11 cases with IOFB. Mean time to primary repair was 1.9 days (range 0-5). Intravitreal antibiotics were given at primary repair in five cases. All cases received early broad-spectrum systemic antibiotics. Median final VA was logMAR 0.25 excluding evisceration/enucleations. There were two cases of PVR and none of endophthalmitis. Conclusions The number of eye injuries as a proportion of all casualties is lower than recently reported. The injuries are more severe than in civilian practise. The outcomes were comparable with previous reports, this demonstrates that, in certain cases, primary repair can be safely delayed beyond 24 h in the patient's best interests, in order to optimise the conditions for treatment.

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“…Eye injuries come at high cost to society [4,5] and can be reduced by the use of protective gear [6,7].…”

Section: Introductionmentioning

confidence: 99%

Eye injury in the Israeli Defense Force: “An ounce of prevention is worth a pound of cure”

Gendler

Nadler

Erlich

et al. 2015

Injury

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Ocular Injury Reduction From Ocular Protection Use in Current Combat Operations

Cited by 52 publications

References 12 publications

Incidence and severity of ocular and adnexal injuries during the Second Lebanon War among Israeli soldiers and civilians

Incidence and severity of ocular and adnexal injuries during the Second Lebanon War among Israeli soldiers and civilians

Ophthalmic injuries in British Armed Forces in Iraq and Afghanistan

Eye injury in the Israeli Defense Force: “An ounce of prevention is worth a pound of cure”

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