gms | German Medical Science

21st Annual Meeting of the German Retina Society and 8th Symposium of the International Society of Ocular Trauma (ISOT)

German Retina Society
International Society of Ocular Trauma

19.06. - 22.06.2008, Würzburg

Closed-globe injuries resulting from explosive devices

Meeting Abstract

  • F. Cuneyt Erdurman - Ankara/Turkey
  • A.H. Durukan - Ankara/Turkey
  • T. Mumcuoglu - Ankara/Turkey
  • V. Hurmeric - Ankara/Turkey
  • G. Gokce - Ankara/Turkey

Retinologische Gesellschaft. International Society of Ocular Trauma. 21. Jahrestagung der Retinologischen Gesellschaft gemeinsam mit dem 8. Symposium der International Society of Ocular Trauma. Würzburg, 19.-22.06.2008. Düsseldorf: German Medical Science GMS Publishing House; 2008. DocISOTRG2008P19

The electronic version of this article is the complete one and can be found online at:

Published: June 18, 2008

© 2008 Erdurman et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( You are free: to Share – to copy, distribute and transmit the work, provided the original author and source are credited.



Purpose: To document visual outcomes of patients with closed-globe injuries requiring hospitalization in terrorist attacks.

Methods: Retrospective case analysis of 26 eyes of 24 consecutive patients with closed-globe trauma admitted the Department of Ophthalmology, Gulhane Military Medical Academy from July 2005 through November 2007. Cases were analyzed with respect to demographics, source of the injury, visual acuity (VA) at arrival and after treatment, and type of trauma according to the International Trauma classification.

Results: The mean age was 22.9 years (range 20–31 years) and all casualties were male. Landmine explosion was the most common cause (69%) of the injuries. Closed-globe injuries by contusion accounted for 14 eyes. Mixed and laceration types of injuries were found in 9 eyes and 3 eyes respectively. Of the cases, 73% were localized at zone III. Eighteen eyes (50%) had vitreous hemorrhage and 6 eyes (23%) of them also had retinal tear or detachment. Visual acuity at arrival, 15 eyes (58%) had 20/100 or better. Surgical management was performed in 13 eyes (50%), retinal laser photocoagulation was performed in 2 eyes (8%), and 11 eyes (42%) did not receive any treatment. The final VA improved in 12 (46%) of the eyes, and remained unchanged 14 (54%) of the eyes.

Conclusions: In this study, the patients with closed-globe trauma due to explosive devices commonly had injuries at zone III, and mostly presented with vitreous hemorrhage.