Cargando…

Bomb Explosion: Ocular Effects of Primary, Secondary and Tertiary Mechanisms

PURPOSE: To report the type and severity of ocular injuries sustained by the survivors of a bomb-loaded explosion that occurred in Mogadishu, Somalia on December 28, 2019. PATIENTS AND METHODS: The recorded data included age, gender, wounded eye, initial examination of ocular injuries and associated...

Descripción completa

Detalles Bibliográficos
Autores principales: Kalayci, Mustafa, Er, Sadettin, Tahtabasi, Mehmet
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Dove 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7196204/
https://www.ncbi.nlm.nih.gov/pubmed/32425500
http://dx.doi.org/10.2147/OPTH.S253438
_version_ 1783528676678172672
author Kalayci, Mustafa
Er, Sadettin
Tahtabasi, Mehmet
author_facet Kalayci, Mustafa
Er, Sadettin
Tahtabasi, Mehmet
author_sort Kalayci, Mustafa
collection PubMed
description PURPOSE: To report the type and severity of ocular injuries sustained by the survivors of a bomb-loaded explosion that occurred in Mogadishu, Somalia on December 28, 2019. PATIENTS AND METHODS: The recorded data included age, gender, wounded eye, initial examination of ocular injuries and associated systemic injuries, initial visual acuity, anterior and posterior segment examinations. The type of injury (open vs closed globe), the injured zone of the globe, and the presence of a relative afferent pupil defect were evaluated in all cases where possible. RESULTS: After the explosion, ocular injuries were detected in 28 of 114 patients in our hospital. Thirty-two eyes of 28 patients were included in the study. The mean age was 32.4±6.7 years. The number of open-globe injuries was more than that of closed-globe injuries (26 vs 6; 81.25% vs 18.75%, respectively). Zone 1 was the most affected zone in open-globe injuries (18/26 eyes, 61.6%), followed by Zone 3 in six (23%) patients and Zone 2 in four (15.4%) patients. Sixteen open-globe injuries were laceration type (61.5%) and 10 (38.5%) were rupture type. An intraocular foreign body was detected in eight (30.8%) eyes with open-globe injuries. A total of 28 patients had 11 (39.3%) isolated eye injuries, whereas 17 (60.7%) had concomitant systemic injuries. CONCLUSION: The frequency of blast-related ocular injuries is increasing. Today, the increase in the use of vehicle-borne improvised explosives in terrorist-related explosions leads to more frequent and serious ocular injuries.
format Online
Article
Text
id pubmed-7196204
institution National Center for Biotechnology Information
language English
publishDate 2020
publisher Dove
record_format MEDLINE/PubMed
spelling pubmed-71962042020-05-18 Bomb Explosion: Ocular Effects of Primary, Secondary and Tertiary Mechanisms Kalayci, Mustafa Er, Sadettin Tahtabasi, Mehmet Clin Ophthalmol Original Research PURPOSE: To report the type and severity of ocular injuries sustained by the survivors of a bomb-loaded explosion that occurred in Mogadishu, Somalia on December 28, 2019. PATIENTS AND METHODS: The recorded data included age, gender, wounded eye, initial examination of ocular injuries and associated systemic injuries, initial visual acuity, anterior and posterior segment examinations. The type of injury (open vs closed globe), the injured zone of the globe, and the presence of a relative afferent pupil defect were evaluated in all cases where possible. RESULTS: After the explosion, ocular injuries were detected in 28 of 114 patients in our hospital. Thirty-two eyes of 28 patients were included in the study. The mean age was 32.4±6.7 years. The number of open-globe injuries was more than that of closed-globe injuries (26 vs 6; 81.25% vs 18.75%, respectively). Zone 1 was the most affected zone in open-globe injuries (18/26 eyes, 61.6%), followed by Zone 3 in six (23%) patients and Zone 2 in four (15.4%) patients. Sixteen open-globe injuries were laceration type (61.5%) and 10 (38.5%) were rupture type. An intraocular foreign body was detected in eight (30.8%) eyes with open-globe injuries. A total of 28 patients had 11 (39.3%) isolated eye injuries, whereas 17 (60.7%) had concomitant systemic injuries. CONCLUSION: The frequency of blast-related ocular injuries is increasing. Today, the increase in the use of vehicle-borne improvised explosives in terrorist-related explosions leads to more frequent and serious ocular injuries. Dove 2020-04-28 /pmc/articles/PMC7196204/ /pubmed/32425500 http://dx.doi.org/10.2147/OPTH.S253438 Text en © 2020 Kalayci et al. http://creativecommons.org/licenses/by-nc/3.0/ This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms (https://www.dovepress.com/terms.php).
spellingShingle Original Research
Kalayci, Mustafa
Er, Sadettin
Tahtabasi, Mehmet
Bomb Explosion: Ocular Effects of Primary, Secondary and Tertiary Mechanisms
title Bomb Explosion: Ocular Effects of Primary, Secondary and Tertiary Mechanisms
title_full Bomb Explosion: Ocular Effects of Primary, Secondary and Tertiary Mechanisms
title_fullStr Bomb Explosion: Ocular Effects of Primary, Secondary and Tertiary Mechanisms
title_full_unstemmed Bomb Explosion: Ocular Effects of Primary, Secondary and Tertiary Mechanisms
title_short Bomb Explosion: Ocular Effects of Primary, Secondary and Tertiary Mechanisms
title_sort bomb explosion: ocular effects of primary, secondary and tertiary mechanisms
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7196204/
https://www.ncbi.nlm.nih.gov/pubmed/32425500
http://dx.doi.org/10.2147/OPTH.S253438
work_keys_str_mv AT kalaycimustafa bombexplosionoculareffectsofprimarysecondaryandtertiarymechanisms
AT ersadettin bombexplosionoculareffectsofprimarysecondaryandtertiarymechanisms
AT tahtabasimehmet bombexplosionoculareffectsofprimarysecondaryandtertiarymechanisms