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Middle East African Journal of Ophthalmology Middle East African Journal of Ophthalmology
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ORIGINAL ARTICLE
Year : 2012  |  Volume : 19  |  Issue : 1  |  Page : 153-157

Cluster bomb ocular injuries


1 Department of Ophthalmology, American University of Beirut and Rafic Hariri University Hospital, Beirut, Lebanon
2 Department of Ophthalmology, American University of Beirut, Beirut, Lebanon
3 Department of Ophthalmology, Hammoud Hospital University Medical Center, Saida, Lebanon
4 Department of Ophthalmology, Nabatieh Government Hospital, Nabatieh, Lebanon

Correspondence Address:
Ahmad M Mansour
Department of Ophthalmology, AUB, 3 Daghammarskjold Plaza, 8th floor, New York, NY 10017-2303, USA

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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0974-9233.92133

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Purpose: To present the visual outcomes and ocular sequelae of victims of cluster bombs. Materials and Methods: This retrospective, multicenter case series of ocular injury due to cluster bombs was conducted for 3 years after the war in South Lebanon (July 2006). Data were gathered from the reports to the Information Management System for Mine Action. Results: There were 308 victims of clusters bombs; 36 individuals were killed, of which 2 received ocular lacerations and; 272 individuals were injured with 18 receiving ocular injury. These 18 surviving individuals were assessed by the authors. Ocular injury occurred in 6.5% (20/308) of cluster bomb victims. Trauma to multiple organs occurred in 12 of 18 cases (67%) with ocular injury. Ocular findings included corneal or scleral lacerations (16 eyes), corneal foreign bodies (9 eyes), corneal decompensation (2 eyes), ruptured cataract (6 eyes), and intravitreal foreign bodies (10 eyes). The corneas of one patient had extreme attenuation of the endothelium. Conclusions: Ocular injury occurred in 6.5% of cluster bomb victims and 67% of the patients with ocular injury sustained trauma to multiple organs. Visual morbidity in civilians is an additional reason for a global ban on the use of cluster bombs.


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