Citation

Erdurman FC, Hurmeric V, Gokce G, Durukan AH, Sobaci G, Altinsoy HI. Eye 2011; 25(11): 1491-1498.

Affiliation

Department of Ophthalmology, Gulhane Military Medical Academy and School of Medicine, Ankara, Turkey.

Copyright

(Copyright © 2011, Nature Publishing Group)

DOI

10.1038/eye.2011.212

PMID

21852806

PMCID

PMC3213667

Abstract

PurposeTo document the characteristics, treatments, and anatomical and functional outcomes of patients with ocular trauma from improvised explosive devices (IEDs).MethodsRetrospective review of ocular injuries caused by IEDs, admitted to our tertiary referral centre.ResultsIn total, sixty-one eyes of the 39 patients with an average age of 24 years (range, 20-42 years) were included in the study. In total, 49 (80%) eyes of the patients had open-globe and 12 (20%) had closed-globe injury. In eyes with open-globe injury, intraocular foreign body (IOFB) injury was the most frequently encountered type of injury, observed in 76% of eyes. Evisceration or enucleation was required as a primary surgical intervention in 17 (28%) of the eyes. Twenty-two (36%) eyes had no light perception at presentation. Patients were followed up for an average of 6 months (range, 4-34 months). At the last follow-up, 26 (43%) of 61 eyes had no light perception. Postoperative proliferative vitreoretinopathy (PVR) developed in 12 (50%) of the 24 eyes that underwent vitreoretinal surgery, and four of these eyes became phthisical. There were no cases of endophthalmitis. The presence of open-globe injury and presenting visual acuity worse than 5/200 were significantly associated with poor visual outcome (<5/200, P<0.05). In eyes with open-globe injury, the presence of an IOFB was not associated with poor visual outcome (P>0.05).ConclusionOcular injuries from IEDs are highly associated with severe ocular damage requiring extensive surgical repair or evisceration/enucleation. Postoperative PVR is a common cause of poor anatomical and visual outcome.Eye advance online publication, 19 August 2011; doi:10.1038/eye.2011.212.

Language: en