Syrian Civil-War-Related Intraocular Foreign Body Injuries: A Four-Year Retrospective Analysis

Gürler, Bülent; Coşkun, Erol; Öner, Veysi; Çömez, Ayşegül; Erbağcı, İbrahim

doi:10.3109/08820538.2016.1142578

Cited by 12 publications

(10 citation statements)

References 16 publications

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“…In total, 38 publications met the inclusion criteria of this systematic review as shown in Figure 1 10–47. There was no other systematic review on this area of research found.…”

Section: Resultsmentioning

confidence: 99%

“…Seven papers did not indicate the gender of the casualties 10 11 15 23 26 29 40. Eight papers met the eligibility criteria and had specific data for children aged less than 18 years 12 13 19 24 27 44–46. Nine other papers were excluded due to being specific to childhood trauma 18 30–33 47.…”

Section: Resultsmentioning

confidence: 99%

“…Of the 30 papers which documented the site of injury, only three were not specific to the injured anatomical region, allowed subcategorisation according to the AIS regions and were not case studies 12 16 27. Eighteen papers were site specific 10 13 18–22 24–26 28 29 33 38 39 42 44 46. Four could not be categorised in relation to the AIS 14 31 43 45.…”

Section: Resultsmentioning

confidence: 99%

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Syrian Civil War: a systematic review of trauma casualty epidemiology

McIntyre¹

2020

BMJ Mil Health

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BackgroundThe Syrian Civil War has caused over 400 000 traumatic deaths. Understanding the nature of war casualties is crucial to deliver healthcare improvement. Historic regional conflicts and Syrian mortality data have been characterised by blast injuries. The aim of this novel review is to assess the trauma epidemiology of Syrian Civil War casualties from the perspective of healthcare facilities.MethodsThis review was conducted using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses method. Studies addressing Syria, trauma and war were investigated. Eligibility criteria included being conducted from a healthcare facility, published in English and peer reviewed. The outcomes were demography, mechanism of injury and anatomical injury site.Results38 papers satisfied the eligibility criteria. 13 842 casualties were reported across the entire data set. Casualties were 88.8% male (n=4035 of 4544). Children contributed to 16.1% of cases (n=398 of 2469). Mortality rate was 8.6% (n=412 of 4774). Gunshot wound was the most common mechanism of injury representing 66.3% (n=7825 of 11799). Head injury was the most common injured site at 26.6% (n=719 of 2701).ConclusionsThis conflict has a distinct trauma profile compared with regional modern wars. The prevalence of gunshot wounds represents a marked change in mechanism of injury. This may be related to higher mortality rate and proportion of head injuries identified. This review cannot correlate mechanism of injury, demographics or injuries sustained to outcomes. The quality of data from the included studies lacked standardisation; future research and consistent reporting tools are required to enable further analysis.

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“…In total, 38 publications met the inclusion criteria of this systematic review as shown in Figure 1 10–47. There was no other systematic review on this area of research found.…”

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Syrian Civil War: a systematic review of trauma casualty epidemiology

McIntyre¹

2020

BMJ Mil Health

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“…Without appropriate diagnosis and treatment, penetrating ocular injury with an intraocular foreign body (IOFB) can lead to blindness or other severe ocular complications [3]. Injuries to the anterior and posterior segments may occur due to ocular trauma, and surgical treatment should be undertaken to reconstruct the anterior and posterior segments [4][5][6][7][8]. Siderosis bulbi, one of the most serious complications, may be caused by retention of an iron-containing IOFB, which can cause deposition of iron molecules in the ocular tissues [9,10].…”

Section: Introductionmentioning

confidence: 99%

Clinical Characteristics and Visual Outcomes in Patients with Intralenticular Foreign Bodies with Self-Sealing Corneal Penetrating Wounds

Wang

Qian

et al. 2021

Journal of Ophthalmology

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Purpose. Siderosis bulbi may occur as a result of retained intralenticular foreign bodies (ILFBs) that were missed during examination in patients with self-sealing wounds and without a significant decrease in visual acuity. This study aimed to explore the clinical characteristics and visual outcomes of ILFBs with self-sealing corneal penetrating wounds. Methods. Fifteen eyes of 15 patients with ILFBs and self-sealing corneal penetrating wounds, seen between October 2014 and September 2019, were retrospectively analyzed. Data regarding the patient demographics, clinical features, surgical procedure, and initial and final best-corrected visual acuity (BCVA) were analyzed. Results. All patients were male with a mean age of 41 years. The foreign bodies passed through the cornea, sometimes through the iris, through the anterior capsule, and finally localized in the lens. All ILFBs were pointed and metallic objects and were successfully removed with phacoemulsification and posterior chamber intraocular lens (IOL) implantation. Anterior capsule violation was found in three eyes, but no posterior capsule rupture was found. The IOL was placed in a capsule bag in all the cases. The BCVA ranged from 20/200 to 20/25 preoperatively and improved to between 20/32 and 20/20 at the last follow-up visit. The IOLs were well-centered. Apart from posterior capsule opacity in four eyes, no other postoperative complications were found. Conclusions. In patients with a pointed metallic ILFB and self-sealing corneal penetrating wounds (with or without cataracts), early diagnosis and removal of the metallic ILFB combined with lens removal and IOL implantation may avoid late complications and achieve good visual outcomes.

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“…Glass intraocular foreign bodies (IOFBs) complicate up to 14% of all IOFB cases and are especially common with motor vehicle accidents (MVAs) and explosions 1, 2, 3, 4, 5, 6. Up to 70% of MVA-associated penetrating ocular trauma have an accompanying glass IOFB present, 6 which is related to shattering of tempered glass into polygonal fragments with sharp borders that can easily penetrate human tissue 3 , 6 .…”

Section: Introductionmentioning

confidence: 99%

Glass intraocular foreign body removal with a nitinol stone basket

Francis

Zhu

et al. 2019

American Journal of Ophthalmology Case Reports

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Purpose Glass intraocular foreign bodies (IOFBs) complicate up to 14% of all IOFB cases and require specialized instruments for removal. We present a case of ocular trauma with two large glass IOFBs removed using a nitinol stone basket (NSB) designed for kidney stone extraction in the ureter and calyces. Observations An adult male suffered a restrained motor vehicle accident. Radiographic computed tomography identified a 9-mm polygonal IOFB within the posterior segment of the right eye. A staged procedure was performed with repair of the ruptured globe followed by 23-gauge pars plana vitrectomy, pars plana lensectomy, and removal of the IOFBs using a NSB. Conclusion At post-operative month one, visual acuity was correctable to 20/60. The retina remained attached and the patient was recovering without complication. Importance Large glass IOFBs are poorly gripped by standard ophthalmic forceps due to their smooth surface, large size, and irregular shape. The NSB is an effective instrument for controlled removal of glass IOFBs. Further customized design may adapt this device for additional intraocular procedures.

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Syrian Civil-War-Related Intraocular Foreign Body Injuries: A Four-Year Retrospective Analysis

Abstract: Despite delays in treatment and the severity of injuries, 82% (64/78) of the eyes had an improvement in VA after the surgeries.

Cited by 12 publications

References 16 publications

Syrian Civil War: a systematic review of trauma casualty epidemiology

Syrian Civil War: a systematic review of trauma casualty epidemiology

Clinical Characteristics and Visual Outcomes in Patients with Intralenticular Foreign Bodies with Self-Sealing Corneal Penetrating Wounds

Glass intraocular foreign body removal with a nitinol stone basket

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