Skip to main content Accessibility help

We use cookies to distinguish you from other users and to provide you with a better experience on our websites. Close this message to accept cookies or find out how to manage your cookie settings.

Close cookie message
×
Hostname: page-component-76fb5796d-zzh7m Total loading time: 0 Render date: 2024-04-26T17:10:08.182Z Has data issue: false hasContentIssue false

Chapter 22 - Ophthalmology in a Field Hospital

from Section 4 - Clinical Considerations

Published online by Cambridge University Press:  09 January 2020

By
Erez Tsumi  and
Perach Osaadon
Edited by
Elhanan Bar-On ,
Kobi Peleg  and
Yitshak Kreiss
Elhanan Bar-On
Affiliation:
The Israel Center for Disaster Medicine and Humanitarian Response, Sheba Medical Center, Tel Hashomer, Israel
Kobi Peleg
Affiliation:
National Center for Trauma & Emergency Medicine Research, The Gertner Institute for Health Policy and Epidemiology and Tel-Aviv University, Disaster Medicine Department
Yitshak Kreiss
Affiliation:
Sheba Medical Center, Tel Hashomer, Israel
Get access

Summary

The role of the ophthalmologist in the field hospital is important and irreplaceable; ocular injuries during a disaster can result in considerable disability and often require the care of an ophthalmologic surgeon. The ophthalmology field is a high technology area with the need for expensive equipment that are not available in the field hospital. The working scenario for the ophthalmologist in the delegation is very different than the one existing in a hospital in developed countries; therefore, first and foremost, a change in mental attitude is needed.

Understanding the characteristics of ocular injuries during various types of disasters in different geographical areas is important to be able to prepare for them properly, both mentally and practically.

Another dominant factor is time: the nature of ophthalmology patient’s varies significantly as time passes.

While in the first days after the disaster most ocular injuries are related to disaster, as time passes most of the referral patients are nondisaster related injuries such as chronic ocular problems of the local population.

This chapter covers the preparation needed for treating ocular injuries during disasters and the ophthalmology layout in the field hospital scenario.

Keywords

Natural disasterocular traumadisaster-related injuriesnondisaster-related injuriesfield hospitalearthquaketyphoon
Type
Chapter
Information
Field Hospitals
A Comprehensive Guide to Preparation and Operation
 , pp. 217 - 224
Publisher: Cambridge University Press
Print publication year: 2020

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Doi, H, Kunikata, H, Kato, K, Nakazawa, T. Ophthalmologic examinations in areas of Miyagi Prefecture affected by the great east Japan earthquake. JAMA Ophthalmology 2014: 132(7): 874–6.Google Scholar
Yuki, K, Nakazawa, T, Kurosaka, D, et al. Role of the vision van, a mobile ophthalmic outpatient clinic, in the great east Japan earthquake. Clinical Ophthalmology 2014: 8: 691–6.Google Scholar
Birnbaum, ML, Daily, EK, O’Rourke, AP. Research and evaluations of the health aspects of disasters, part V: epidemiological disaster research. Prehospital and Disaster Medicine 2015: 30(6): 648–56.Google Scholar
Zhong, S, Clark, M, Hou, XY, Zang, YL, Fitzgerald, G. Development of hospital disaster resilience: conceptual framework and potential measurement. Emergency Medicine Journal 2014: 31(11): 930–8.Google Scholar
Born, CT, Briggs, SM, Ciraulo, DL, et al. Disasters and mass casualties: I. General principles of response and management. Journal of the American Academy of Orthopaedic Surgeons 2007: 15(7): 388–96.CrossRefGoogle ScholarPubMed
Tokuda, Y, Kikuchi, M, Takahashi, O, Stein, GH. Prehospital management of sarin nerve gas terrorism in urban settings: 10 years of progress after the Tokyo subway sarin attack. Resuscitation 2006: 68: 193–202.CrossRefGoogle ScholarPubMed
Sobaci, G, Akyn, T, Mutlu, FM, Karagul, S, Bayraktar, MZ. Terror-related open-globe injuries: a 10-year review. American Journal of Ophthalmology 2005: 139: 937–9.Google Scholar
Odhiambo, WA, Guthua, SW, Macigo, FG, et al. Maxillofacial injuries caused by terrorist bomb attack in Nairobi, Kenya. International Journal of Oral and Maxillofacial Surgery 2002: 31: 374–7.CrossRefGoogle ScholarPubMed
Negrel, AD, Thylefors, B. The global impact of eye injuries. Ophthalmic Epidemiology 1998: 5: 143–69.Google Scholar
Mimran, S, Rotem, R. Ocular trauma under the shadow of terror. Insight 2005: 30: 10–2.Google Scholar
Mines, M, Thach, A, Mallonee, S, et al. Ocular injuries sustained by survivors of the Oklahoma City bombing. Ophthalmology 2000: 107(5): 837–43.Google Scholar
Berrios-Torres, SI, Greenko, JA, Phillips, M, Miller, JR, Treadwell, T, Ikeda, RM. World Trade Center rescue worker injury and illness surveillance, New York, 2001. American Journal of Preventive Medicine 2003: 25: 79–87.Google Scholar
Holmes, S, Coombes, A, Rice, S, et al. The role of the maxillofacial surgeon in the initial 48 h following a terrorist attack. British Journal of Oral and Maxillofacial Surgery 2005: 43: 375–82.CrossRefGoogle ScholarPubMed
Centers for Disease Control and Prevention. Rapid assessment of injuries among survivors of the terrorist attack on the World Trade Center – New York City, September 2001. Morbidity and Mortality Weekly Report 2002: 51: 1–5.Google Scholar
Ari, AB. Eye injuries on the battlefields of Iraq and Afghanistan: public health implications. Optometry 2006: 77: 329–39.CrossRefGoogle ScholarPubMed
Osaadon, P, Tsumi, E, Pokroy, R, Sheleg, T, Peleg, K. Ocular morbidity in natural disasters: field hospital experience 2010–2015. Eye 2018: 32(11): 1717–22.Google Scholar
Gossman, MD, Roberts, DM, Barr, CC. Ophthalmic aspects of orbital injury. A comprehensive diagnostic and management approach. Clinics in Plastic Surgery 1992: 19: 71–85.Google Scholar
Kuhn, F, Halda, T, Witherspoon, CD, Morris, R, Mester, V. Intraocular foreign bodies: myths and truths. European Journal of Ophthalmology 1996: 6: 464–71.Google Scholar
Manolidis, S, Weeks, BH, Kirby, M, Scarlett, M, Hollier, L. Classification and surgical management of orbital fractures: experience with 111 orbital reconstructions. Journal of Craniofacial Surgery 2002: 13: 726–37, discussion 738.Google Scholar
Roncevic, R, Roncevic, D. Extensive, traumatic fractures of the orbit in war and peace time. Journal of Craniofacial Surgery 1999: 10: 284–300.CrossRefGoogle ScholarPubMed
Cakanac, CJ. Orbital fractures. Optometry Clinics 1993: 3: 57–65.Google Scholar
Cai, YS, Zhou, GJ. Compressive eye injuries caused by earthquake. Chinese Medical Journal 1983: 96(10): 731–6.Google Scholar
Lubeck, D. Penetrating ocular injuries. Emergency Medicine Clinics of North America 1988: 6(1): 127–46.CrossRefGoogle ScholarPubMed
Detorakis, ET, Spandidos, DA. Pathogenetic mechanisms and treatment options for ophthalmic pterygium: Trends and perspectives (Review). International Journal of Molecular Medicine 2009: 23: 439–47.CrossRefGoogle Scholar
Coroneo, MT. Pterygium as an early indicator of ultraviolet insolation: a hypothesis. British Journal of Ophthalmology 1993: 77: 734–9.Google Scholar
McCarty, CA1, Taylor, HR. A review of the epidemiologic evidence linking ultraviolet radiation and cataracts. Developments in Ophthalmology 2002: 35: 21–31.Google Scholar
Mariotti, SP, Pascolini, D, Rose-Nussbaumer, J. Trachoma: global magnitude of a preventable cause of blindness. British Journal of Ophthalmology 2009: 93(5): 563–8.Google Scholar
Steinsapir, KD, Goldberg, RA. Traumatic optic neuropathy. Survey of Ophthalmology 1994: 38: 487–518.Google Scholar
Larian, B, Wong, B, Crumley, RL, Moeinolmolki, B, Muranaka, E, Keates, RH. Facial trauma and ocular/orbital injury. Journal of Cranio-Maxillofacial Surgery 1999: 5: 15–24.Google Scholar
Jones, WL. Traumatic injury to the lens. Optometry Clinics 1991: 1: 125–42.Google Scholar
Merin, O, Nachman, A, Levy, G, Schwaber, MJ, Kreiss, Y. The Israeli field hospital in Haiti – ethical dilemmas in early disaster response. The New England Journal of Medicine 2010: 362: e38.Google Scholar

Save book to Kindle

To save this book to your Kindle, first ensure coreplatform@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×