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Updated: May 18, 2026
04:02
System for Focal, Closed-System Central Nervous System Injury
Published on: November 29, 2024
Closed globe macular injuries after blasts in combat.
Brandon N Phillips1, Dal W Chun, Marcus Colyer
1Ophthalmology Service, Department of Surgery, Walter Reed National Military Medical Center Bethesda, Bethesda, Maryland, USA. brandon.n.phillips@us.army.mil
Retina (Philadelphia, Pa.)
|October 2, 2012
Summary
Blast-related closed globe injuries can cause various macular issues, with inner segment/outer segment junction integrity crucial for vision. Long-term outcomes require ongoing ophthalmological monitoring.
Area of Science:
- Ophthalmology
- Trauma Surgery
- Military Medicine
Background:
- Blast injuries pose significant risks to ocular health.
- Understanding macular damage patterns is vital for prognosis.
Purpose of the Study:
- To characterize macular findings in soldiers after closed globe ocular injuries from blasts.
- To identify factors influencing visual outcomes.
Main Methods:
- Retrospective chart review of soldiers with closed globe ocular injuries from February 2003 to March 2010.
- Analysis of macular findings on examination.
Main Results:
- 36 eyes were analyzed; 86% of injuries resulted from improvised explosive devices.
- 22.2% developed macular holes, and 22.2% showed macular scarring.
- Orbital fractures occurred in 42%, and optic neuropathy in 19%.
Conclusions:
- Closed globe blast injuries present a diverse range of macular pathologies.
- Inner segment/outer segment junction integrity is key for visual outcomes.
- Long-term complications necessitate close patient follow-up by ophthalmologists.
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