title: Injury risk prediction from computational simulations of ocular blast loading.
abstract: A predictive Lagrangian-Eulerian finite element eye model was used to analyze 2.27 and 0.45 kg trinitrotoluene equivalent blasts detonated from 24 different locations. Free air and ground level blasts were simulated directly in front of the eye and at lateral offset locations with box, average, less protective, and more protective orbital anthropometries, resulting in 96 simulations. Injury risk curves were developed for hyphema, lens dislocation, retinal damage, and globe rupture from experimental and computational data to compute risk from corneoscleral stress and intra-ocular pressure computational outputs. Corneoscleral stress, intra-ocular pressure, and injury risks increased when the blast size was larger and located nearer to the eye. Risks ranged from 20-100 % for hyphema, 1-100 % for lens dislocation, 2-100 % for retinal damage, and 0-98 % for globe rupture depending on the blast condition. Orbital geometry affected the stresses, pressures, and associated ocular injury risks of the blast conditions simulated. Orbital geometries that more fully surrounded the eye such as the more protective orbit tended to produce higher corneoscleral stresses and compression of the eye against the surrounding rigid orbit contributing to high stresses as the blast wave propagated. However, the more protective orbit tended to produce lower intra-ocular pressures in comparison with the other three orbital geometries which may indicate that the more protective orbit inhibits propagation of the blast wave and reduces ocular loading. Results of this parametric computational study of ocular blast loading are valuable to the design of eye protection equipment and the mitigation of blast-related eye injuries.
authors.affiliation: Virginia Tech-Wake Forest University Center for Injury Biomechanics, 575 N. Patterson Ave, Suite 120, Winston-Salem, NC, 27101, USA. asweaver@wakehealth.edu.|Wake Forest School of Medicine, Winston-Salem, NC, USA. asweaver@wakehealth.edu.
authors.forename: Ashley A
authors.initials: AA
authors.lastname: Weaver
authors.affiliation: , Winston-Salem, NC, USA.
authors.forename: Sarah M
authors.initials: SM
authors.lastname: Stitzel
authors.affiliation: Virginia Tech-Wake Forest University Center for Injury Biomechanics, 575 N. Patterson Ave, Suite 120, Winston-Salem, NC, 27101, USA.|Wake Forest School of Medicine, Winston-Salem, NC, USA.
authors.forename: Joel D
authors.initials: JD
authors.lastname: Stitzel
mesh_terms: D001753:Blast Injuries / Q000517:prevention & control*; D003198:Computer Simulation; D005131:Eye Injuries / Q000517:prevention & control*; D006801:Humans; D008962:Models, Theoretical; D009915:Orbit / Q000033:anatomy & histology; D012306:Risk; D018570:Risk Assessment / Q000379:methods*
keywords: Blast; Computational modeling; Eye; Finite element; Injury; Ocular