title: Terror-related open-globe injuries: a 10-year review.
abstract: OBJECTIVE
  To describe mechanisms and injury characteristics influencing visual outcomes in eyes with open-globe injuries sustained in terrorist acts.
  
  
  METHODS
  Retrospective, interventional case series.
  
  
  METHODS
  The charts of 260 consecutive patients (285 eyes) who had open-globe injury caused by terrorist attack and admitted to the tertiary referral center for military in Turkey between March 1991 and April 2001 were reviewed, and 50 patients (56 eyes) with complete data were evaluated for predicting visual outcome according to the Ocular Trauma Classification System (OTCS).
  
  
  RESULTS
  The mean age of patients was 22.6 years, and the mean follow-up was 5.8 months. Seventeen patients (6.54%) had traumatic amputation in the extremities. Forty-eight eyes (16.84%) were enucleated. Type A, grade V, zone III, and RAPD-positive injuries were associated with unfavorable visual outcome. Land mine and hand grenade injuries had the worst outcome.
  
  
  CONCLUSIONS
  In terror-related open-globe injuries, unusual presentations and devastating visual results are common, and OTCS seems to predict visual outcomes.
authors.affiliation: Ophthalmology Department, GATA Gülhane Military Medical Academy and Medical School, 06018 Etlik, Ankara, Turkey. gsobaci@gata.edu.tr
authors.forename: Güngör
authors.initials: G
authors.lastname: Sobaci
authors.forename: Tŭorul
authors.initials: T
authors.lastname: Akýn
authors.forename: F Mehmet
authors.initials: FM
authors.lastname: Mutlu
authors.forename: Suat
authors.initials: S
authors.lastname: Karagül
authors.forename: Mehmet Z
authors.initials: MZ
authors.lastname: Bayraktar
mesh_terms: D000293:Adolescent; D000328:Adult; D001753:Blast Injuries / Q000453:epidemiology / Q000473:pathology / Q000601:surgery; D002648:Child; D015353:Eye Enucleation; D017234:Eye Evisceration; D015807:Eye Injuries, Penetrating / Q000453:epidemiology* / Q000473:pathology / Q000601:surgery; D006801:Humans; D015601:Injury Severity Score; D008875:Middle Aged; D008887:Military Medicine; D012189:Retrospective Studies; D023481:Terrorism / Q000706:statistics & numerical data*; D014421:Turkey / Q000453:epidemiology; D014792:Visual Acuity; D014948:Wounds, Gunshot / Q000453:epidemiology / Q000473:pathology / Q000601:surgery