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

Mustafa Kalayci,1 Sadettin Er,2 Mehmet Tahtabasi3 1Somalia Mogadishu - Turkey Education and Research Hospital, Department of Ophthalmology, Banadir, Mogadishu, Somalia; 2Somalia Mogadishu - Turkey Education and Research Hospital, Department of General Surgery, Banadir, Mogadishu, Somalia; 3Somalia M...

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Autores principales:	Kalayci M, Er S, Tahtabasi M
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2020
Materias:	eye injury ocular trauma explosion open-globe injury improvised explosive device Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/1ca8e5d20edd44068922a9f6f50182ce
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spelling	oai:doaj.org-article:1ca8e5d20edd44068922a9f6f50182ce2021-12-02T08:13:40ZBomb Explosion: Ocular Effects of Primary, Secondary and Tertiary Mechanisms1177-5483https://doaj.org/article/1ca8e5d20edd44068922a9f6f50182ce2020-04-01T00:00:00Zhttps://www.dovepress.com/bomb-explosion-ocular-effects-of-primary-secondary-and-tertiary-mechan-peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483Mustafa Kalayci,1 Sadettin Er,2 Mehmet Tahtabasi3 1Somalia Mogadishu - Turkey Education and Research Hospital, Department of Ophthalmology, Banadir, Mogadishu, Somalia; 2Somalia Mogadishu - Turkey Education and Research Hospital, Department of General Surgery, Banadir, Mogadishu, Somalia; 3Somalia Mogadishu - Turkey Education and Research Hospital, Department of Radiology, Banadir, Mogadishu, SomaliaCorrespondence: Mustafa Kalayci Email drkalayci07@hotmail.comPurpose: 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.Keywords: eye injury, ocular trauma, explosion, open-globe injury, improvised explosive deviceKalayci MEr STahtabasi MDove Medical Pressarticleeye injuryocular traumaexplosionopen-globe injuryimprovised explosive deviceOphthalmologyRE1-994ENClinical Ophthalmology, Vol Volume 14, Pp 1145-1151 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	eye injury ocular trauma explosion open-globe injury improvised explosive device Ophthalmology RE1-994
spellingShingle	eye injury ocular trauma explosion open-globe injury improvised explosive device Ophthalmology RE1-994 Kalayci M Er S Tahtabasi M Bomb Explosion: Ocular Effects of Primary, Secondary and Tertiary Mechanisms
description	Mustafa Kalayci,1 Sadettin Er,2 Mehmet Tahtabasi3 1Somalia Mogadishu - Turkey Education and Research Hospital, Department of Ophthalmology, Banadir, Mogadishu, Somalia; 2Somalia Mogadishu - Turkey Education and Research Hospital, Department of General Surgery, Banadir, Mogadishu, Somalia; 3Somalia Mogadishu - Turkey Education and Research Hospital, Department of Radiology, Banadir, Mogadishu, SomaliaCorrespondence: Mustafa Kalayci Email drkalayci07@hotmail.comPurpose: 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.Keywords: eye injury, ocular trauma, explosion, open-globe injury, improvised explosive device
format	article
author	Kalayci M Er S Tahtabasi M
author_facet	Kalayci M Er S Tahtabasi M
author_sort	Kalayci M
title	Bomb Explosion: Ocular Effects of Primary, Secondary and Tertiary Mechanisms
title_short	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_sort	bomb explosion: ocular effects of primary, secondary and tertiary mechanisms
publisher	Dove Medical Press
publishDate	2020
url	https://doaj.org/article/1ca8e5d20edd44068922a9f6f50182ce
work_keys_str_mv	AT kalaycim bombexplosionoculareffectsofprimarysecondaryandtertiarymechanisms AT ers bombexplosionoculareffectsofprimarysecondaryandtertiarymechanisms AT tahtabasim bombexplosionoculareffectsofprimarysecondaryandtertiarymechanisms
_version_	1718398588249178112

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

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