gms | German Medical Science

102. Jahrestagung der DOG

Deutsche Ophthalmologische Gesellschaft e. V.

23. bis 26.09.2004, Berlin

Kabul 2003 - eye injuries in a terrorist bombing : a clinical analysis

Meeting Abstract

  • corresponding author H. Gümbel - Department of Ophthalmology, German Army Hospital Ulm, Academic Teaching Hospital University Ulm
  • A. Cibis - Department of Ophthalmology, German Army Hospital Ulm, Academic Teaching Hospital University Ulm
  • M. v. Ehr - Department of Ophthalmology, German Army Hospital Ulm, Academic Teaching Hospital University Ulm
  • A. Bocks - Department of Ophthalmology, German Army Hospital Ulm, Academic Teaching Hospital University Ulm
  • S. Nerkelun - Department of Ophthalmology, German Army Hospital Ulm, Academic Teaching Hospital University Ulm
  • K.-J. Lipke - Department of Ophthalmology, German Army Hospital Ulm, Academic Teaching Hospital University Ulm

Evidenzbasierte Medizin - Anspruch und Wirklichkeit. 102. Jahrestagung der Deutschen Ophthalmologischen Gesellschaft. Berlin, 23.-26.09.2004. Düsseldorf, Köln: German Medical Science; 2004. Doc04dogDO.17.03

Die elektronische Version dieses Artikels ist vollständig und ist verfügbar unter: http://www.egms.de/de/meetings/dog2004/04dog153.shtml

Veröffentlicht: 22. September 2004

© 2004 Gümbel et al.
Dieser Artikel ist ein Open Access-Artikel und steht unter den Creative Commons Lizenzbedingungen (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.de). Er darf vervielf&aauml;ltigt, verbreitet und &oauml;ffentlich zug&aauml;nglich gemacht werden, vorausgesetzt dass Autor und Quelle genannt werden.


Gliederung

Text

Objective

On June 07, 2003 a terrorist bomb attack occured in Kabul, blowing up a military bus with German soldiers on their way home. The explosion resulted in 30 casualties including four deaths. Eleven on these patients were evacuated to the tertiary medical center Ulm, nine of them with ocular injuries. We report the experience of our department in the evaluation and therapy of multiple simultaneous ocular trauma.

Methods

Nine patients who sustained ocular injuries as a result of terrorist bombing were evacuated to our facility and retrospectively evaluated. Each patient had a primary preoperative evaluation, some surgical intervention and follow up care for one day. All patients were classified by the Abbreviated Injury Scale (AIS). Three out of nine patients suffered from severe penetrating eye injuries.

Results

One of the three eyes with severe penetrating lazeration and intraocular foreign body was enucleated six weeks after trauma. A main problem was seen in the plastic foreign bodies on external eye, melting in epithelial and stromal tissue by explosion heat. Superficial wounds of the eye and adnexa could be revised within one week. Two patients with Contusio bulbi recovered full vision.

Conclusions

Blast-injury patients need a fast and professional interdisziplinary team of surgeons. There is a high risk of open globe injury as a result of glass and plastic fragments from Autoside paneling. Very important for the fast success is the fast lead-in supply and antibiotic cover of the patients. A difficulty seems the melted plastic fragments, not to detect by CCT or ultrasonic. The types of injury of terrorist - blasts are mostly very extensive, involve all tissues of the eye and required care in a tertiary faciity with a clinical Head Center.