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Damage Control Surgery: Blast—Anterior Segment Trauma

  • Anthony J. JohnsonEmail author
  • J. Richard TownleyIII
  • Joseph F. Pasternak
Chapter
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Abstract

In our most recent conflicts, over 13% of all injuries suffered by combatants and noncombatants were ocular injuries, with improvised explosive devices (IED) contributing over 93% of all ocular injuries. The cornea and sclera were involved in a significant number of those injuries. To ensure optimal outcomes for individuals with corneal and scleral trauma, meticulous planning and execution from all phases of the evacuation system from prehospital care to evacuation is critical. Additionally, strict adherence to fundamental surgical principles of wound evaluation and management are key to optimizing patient outcomes. This chapter discusses a systematic approach to evaluating and treating patients with anterior segment trauma.

Keywords

Suturing Cornea Scleral Iris Incarceration Foreign Bodies Stellate Hypothermia Siedel Test Laceration Repair 

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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Anthony J. Johnson
    • 1
    Email author
  • J. Richard TownleyIII
    • 2
  • Joseph F. Pasternak
    • 3
  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
  3. 3.CAPT (RET), MC, US Navy, Walter Reed National Military Medical CenterBethesdaUSA

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