Thach Allen B, Ward Thomas P, Dick John S B, Bauman Wendall C, Madigan William P, Goff Mitchell J, Thordsen John E
Retina Consultants of Nevada, Las Vegas, Nevada 89144, USA.
Ophthalmology. 2005 Oct;112(10):1829-33. doi: 10.1016/j.ophtha.2005.04.024.
To evaluate the number of intraocular foreign body (IOFB) injuries that occurred in Operation Iraqi Freedom, and to determine the cause of injury, the type of foreign body, and the associated injuries to other body systems.
Retrospective, noncomparative, interventional case series.
Fifty-five United States military personnel with an IOFB injury during Operation Iraqi Freedom.
Pars plana vitrectomy, foreign body removal, and additional surgical procedures as the clinical situation dictated.
Cause of injury, size of corneal/scleral laceration, number of foreign bodies, type of foreign body, time to foreign body removal, visual acuity, number of enucleations, and injuries to other body systems.
The foreign body was caused by a propelled explosive in 20 patients (36%) and a nonpropelled explosive in 31 patients (56%), and the cause of the foreign body was not known in 4 patients (7%). The size of the laceration of the cornea and/or sclera averaged 5.4 mm (range, 0.2-18). There were an average of 1.7 foreign bodies in the injured eye (range, 1-6). The size of those foreign bodies measured ranged from <1 mm to 12 x 14 mm. The most common type of foreign body was metal (68%), followed by glass (14%), stone/cement (14%), bone (5%), and cilia (3%). The time from injury to foreign body removal averaged 20.6 days (range, 0-90). No cases of endophthalmitis were seen. The most common associated injury was to the upper extremity, face, lower extremity, and neck.
Unlike trauma in the civilian sector, IOFB injuries in a military setting tend to be caused by explosive devices, which often result in multiple foreign bodies and simultaneous injuries to other body systems. Because of the lack of availability of specialty care in the combat theater, there is often a delay in removal of the foreign body.
评估伊拉克自由行动中发生的眼内异物（IOFB）损伤数量，并确定损伤原因、异物类型以及对其他身体系统的相关损伤。
回顾性、非对照、干预性病例系列研究。
55名在伊拉克自由行动期间发生眼内异物损伤的美国军事人员。
根据临床情况进行经平坦部玻璃体切除术、异物取出术及其他附加手术。
损伤原因、角膜/巩膜裂伤大小、异物数量、异物类型、异物取出时间、视力、眼球摘除数量以及对其他身体系统的损伤。
20例患者（36%）的异物由推进式爆炸物导致，31例患者（56%）由非推进式爆炸物导致，4例患者（7%）的异物原因不明。角膜和/或巩膜裂伤大小平均为5.4毫米（范围0.2 - 18毫米）。受伤眼中平均有1.7个异物（范围1 - 6个）。所测异物大小从小于1毫米到12×14毫米不等。最常见的异物类型是金属（68%），其次是玻璃（14%）、石头/水泥（14%）、骨头（5%）和睫毛（3%）。从受伤到异物取出的平均时间为20.6天（范围0 - 90天）。未观察到眼内炎病例。最常见的相关损伤部位是上肢、面部、下肢和颈部。
与民用领域的创伤不同，军事环境中的眼内异物损伤往往由爆炸装置导致，这常常造成多个异物以及对其他身体系统的同时损伤。由于战区缺乏专科护理，异物取出往往会延迟。
