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Blast eye injuries: a review for first responders
Michael G Morley1, Jackie K Nguyen, Jeffrey S Heier
1Department of Ophthalmology, Tufts University School of Medicine, USA.
Disaster Medicine and Public Health Preparedness
|June 8, 2010
Summary
Ocular injuries are common in blast survivors, affecting up to 28%. Healthcare providers must understand managing eye trauma from explosions, especially secondary blast injuries from flying debris.
Area of Science:
- Ophthalmology
- Trauma Surgery
- Emergency Medicine
Background:
- Increasing terrorism necessitates healthcare provider preparedness for blast and explosion injuries.
- Ocular trauma is a significant cause of morbidity in blast victims.
Purpose of the Study:
- To review ocular injuries associated with explosive blasts.
- To provide concepts for managing eye trauma in blast-injured patients.
Main Methods:
- Literature review of articles indexed in PubMed.
- Search conducted between 1948 and 2007.
- 244 articles were reviewed.
Main Results:
- Ocular injury occurs in up to 28% of blast survivors.
- Secondary blast injuries from fragments cause most eye trauma.
- Common injuries include corneal abrasions, foreign bodies, eyelid lacerations, and open globe injuries.
Conclusions:
- Ocular blast injuries are frequent and can lead to severe vision loss.
- Prompt recognition and management are crucial for blast-injured patients with eye trauma.
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