Damage Control Ophthalmology

  • Anthony J. JohnsonEmail author
  • J. Richard TownleyIII


In order to facilitate communication between ophthalmic specialists, a common vocabulary is required. In this chapter, we describe the accepted nomenclature developed by the University of Alabama Birmingham and adopted by International Ocular Trauma Society, to describe eye trauma. The calculation of the ocular trauma score (OTS) and its use will be described and the basic tenets of damage control ophthalmology will be discussed.


Terminology Perforation Penetration Rupture Ocular trauma score 


  1. 1.
    Schwab CW. Introduction: damage control at the start of 21st century. Injury. 2004;35(7):639–41.CrossRefGoogle Scholar
  2. 2.
    Thatch AB, Johnson AJ, Carroll RB, et al. Severe eye injuries in the war in Iraq, 2003–2005. Ophthalmology. 2008;115(2):377–82.CrossRefGoogle Scholar
  3. 3.
    Kuhn F, Morris R, Mester V, Witherspoon CD. Ocular traumatology. In: Kuhn F, editor. Terminology of mechanical injuries: the Birmingham Eye Trauma Terminology (BETT). Cham: Springer; 2008. p. 3–11.Google Scholar
  4. 4.
    Kuhn F, Morris R, Witherspoon CD. Birmingham Eye Trauma Terminology (BETT): terminology and classification of mechanical eye injuries. Ophthalmol Clin North Am. 2002;15(2):139–43.CrossRefGoogle Scholar
  5. 5.
    Kuhn F, Maisiak R, Mann L, Mester V, Morris RS, Witherspoon CD. The ocular trauma score (OTS). Ophthalmol Clin North Am. 2002;15(2):163–5.CrossRefGoogle Scholar
  6. 6.
    Kuhn F, Slezakb Z. Damage control surgery in ocular traumatology. Injury. 2004;35(7):690–6.CrossRefGoogle Scholar
  7. 7.
    Eiseman A, Birdsong R, editors. Ocular trauma course syllabus. Bethesda: Uniformed Services University of the Health Sciences; 2009.Google Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Colonel, US Army Retired, Ophthalmology ServiceJBSA Fort Sam HoustonUSA
  2. 2.LTC, MC, US Air Force, Wilford Hall Ambulatory Surgery CenterLackland Air Force BaseUSA

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