Accession Number:

AD1158826

Title:

Epidemiology of Combat Ocular Injury to Guide Prolonged Field Care

Descriptive Note:

[Technical Report, Annual Report]

Corporate Author:

ARMY INST OF SURGICAL RESEARCH FORT SAM HOUSTON TX

Personal Author(s):

Report Date:

2021-10-01

Pagination or Media Count:

13

Abstract:

The key objective of the proposed study is to create an algorithm to inform treatment requirements timeline in a prolonged field care setting to reduce the number of patients with loss of visual acuity. Predicted delays in medical evacuation in future conflicts, will lead to the increased extent of prolonged field care, which could potentially lead to an increase in loss of visual acuity. However, at present, the threshold of allowable maximum time before initiation of primary repair to minimize loss of visual acuity remains unclear. Thus, the identification of the maximum time to treatment in current shorter timelines will inform treatment guidelines and expectations during prolonged field care. In this pursuit, we plan to use a two-part solution to inform new treatment guidelines and expectations during prolonged field care for patients with ocular injury. In the first part, determining the burden of injury for each diagnosis, results will enable prioritization of research initiatives to the ocular injuries determined to cause most disability, which will help identify the most impactful areas in reference to the results from the second part of the project. In the second part, determining the association of time to primary repair with final visual acuity, results will contribute to the development of evidence-based guidelines for care of ocular injuries during prolonged field care.

Descriptors:

Subject Categories:

  • Medicine and Medical Research
  • Weapons Effects (Biological)

Distribution Statement:

[A, Approved For Public Release]