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Disability-Adjusted Life Years Resulting from Ocular Injury among Deployed Service Members, 2001-2020.

Mark D Travor1, Emily S Levine1, Andrew J Catomeris1

  • 1Ophthalmology Section, Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire.

Ophthalmology
|November 26, 2023
PubMed
Summary
This summary is machine-generated.

Ocular injuries in deployed US service members result in a significant burden, measured in disability-adjusted life years (DALYs). Permanent disabilities, though rare, account for nearly all DALYs, underscoring the severity of combat eye injuries.

Keywords:
Burden of diseaseDefense and Veterans Eye Injury and Vision RegistryDisability-adjusted life yearsOcular trauma epidemiologyUnited States service members

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Area of Science:

  • Ophthalmology
  • Public Health
  • Military Medicine

Background:

  • Ocular injuries pose a significant health burden on deployed US service members.
  • Quantifying this burden is crucial for understanding the impact on military personnel and developing targeted interventions.

Purpose of the Study:

  • To calculate the burden of ocular injuries in deployed US service members using disability-adjusted life years (DALYs).

Main Methods:

  • A retrospective, observational cohort study analyzed data from US service members with combat-related ocular injuries between 2001 and 2020.
  • Health states and injury durations were identified from the Defense and Veterans Eye Injury and Vision Registry and mapped to Global Burden of Disease (GBD) disability weights.
  • Incidence rates and DALYs were calculated using data on deployed service members and injury statistics.

Main Results:

  • Over 17,500 service members sustained ocular injuries, resulting in 11,214 DALYs (20.6 DALYs per 10,000 service members annually).
  • Severe vision impairment and blindness were the main contributors to DALYs.
  • Although permanent injuries occurred in 9.3% of cases, they accounted for 99.5% of total DALYs. Foreign body, abrasion, and multiple injury types were most frequent.

Conclusions:

  • The DALYs per case ratio for US service members is higher than in the general population, indicating greater injury severity.
  • This study enhances understanding of ocular injury impact on active-duty personnel.
  • Findings provide a basis for future research and interventions to reduce the burden of ocular injuries in the military.