Ocular trauma can be common in military settings. This retrospective study looked into the relationship between the clinical effects of acute ocular and orbital blast trauma with the findings on computerised tomography (CT). This was a consecutive case series of 40 male soldiers with facial and / or suspected ocular injuries due to explosive blasts whilst on duty in Afghanistan. Of the 40 participants, 11 had unilateral and 16 bilateral injuries. Orbital and ocular CT images were performed and compared with actual clinical findings. No pathological findings were described in 37 of the 80 eyes imaged by orbital and ocular CT scans. These orbits were all found to be intact, or had minor trauma. All foreign bodies and penetrating eye injuries were successfully diagnosed by CT. For such patients, CT imaging proved a valuable tool in assessing ocular trauma quickly and enabling the necessary ophthalmic surgical intervention.

The role of computerised tomography in predicting visual outcome in ocular trauma patients.
Chaudhary L, Upendran M, Campion N et al.
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Nana Theodorou

BMedSCi (Hons) PhD, Sheffield Teaching Hospitals NHS Foundation Trust, Clinical Research Office, 11 Broomfield Road, Sheffield, S10 2SE, UK.

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