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System for Focal, Closed-System Central Nervous System Injury
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Ocular trauma under the shadow of terror
1Hadassah University Hospital, Ein Kerem, Jerusalem, Israel. Sheila@hadassah.org.il
Insight (American Society of Ophthalmic Registered Nurses)
|December 15, 2005
Summary
Terror victims experience severe penetrating eye trauma (PET) with higher rates of blindness compared to other causes. Ophthalmic nurses play a crucial role in coordinating care for these patients across various hospital wards.
Area of Science:
- Ophthalmology
- Trauma Surgery
- Public Health
Background:
- Penetrating eye trauma (PET) is a significant cause of visual impairment.
- Early intervention is critical for vision restoration in PET cases.
- Terrorism-related incidents contribute to a notable percentage of ocular injuries.
Purpose of the Study:
- To determine the prevalence and severity of penetrating eye trauma (PET) in terror attack victims in Jerusalem.
- To identify the specific in-hospital needs of these patients.
- To evaluate the role of ophthalmic nurses in managing non-ophthalmology ward patients and coordinating care.
Main Methods:
- Retrospective chart review of 109 consecutive patients with PET from January 2000 to February 2003.
- Analysis of demographic characteristics, injury details, and visual acuity (VA).
- Inclusion of 40 (36.7%) cases attributed to terrorism, hospitalized across intensive care, surgical, and ophthalmology wards.
Main Results:
- Terrorism accounted for 36.7% of PET cases reviewed.
- Terror victims with PET had a higher incidence of severe injuries requiring surgery (95%), including enucleation and retinal detachment.
- A greater proportion of terror victims presented with poor initial visual acuity (82% ≥ 20/200) and remained blind at discharge (44%) compared to other trauma groups.
Conclusions:
- Terrorism-related penetrating eye trauma results in more severe ocular injuries and worse visual outcomes than other causes.
- Ophthalmic nurses are essential in providing specialized care and coordinating treatment for terror victims in diverse hospital settings.
- Multidisciplinary collaboration is vital for optimal in-hospital management and follow-up of these complex cases.
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