The incidence of eye injuries during United States armed conflicts has ranged from 0.5% during the United States Civil War to 13% during Operation Desert Storm (Table 1). Although improvements in body armor have allowed soldiers to survive explosions that would have resulted in fatal chest or abdominal wounds in the past, there has been an increasing incidence of injuries to the relatively unprotected extremities, face, neck, and eyes. From October 2001 through September 2006, the total number of American casualties in Operations Iraqi and Enduring Freedom (OIF/OEF) included 21,695 wounded in action and 2335 killed in action. From 2002 through 2007, the number of U.S. military OIF/OEF soldiers with significant battle ocular injuries requiring evacuation was 13%. However, analysis of visual outcomes of all combat ocular trauma (COT) patients during OIF/OEF has not yet been published. This study was designed to report the visual and anatomic outcomes of COT seen at Walter Reed Army Medical Center (WRAMC) and to predict the visual prognosis after the initial injury.


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