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  1. Article ; Online: Department of Defense and Eye Injury Data: Shedding New Light.

    Colyer, Marcus H

    Military medicine

    2020  Volume 185, Issue 11-12, Page(s) 487–488

    MeSH term(s) Dark Adaptation ; Eye ; Eye Injuries/epidemiology ; Humans ; United States/epidemiology
    Language English
    Publishing date 2020-06-17
    Publishing country England
    Document type Editorial
    ZDB-ID 391061-1
    ISSN 1930-613X ; 0026-4075
    ISSN (online) 1930-613X
    ISSN 0026-4075
    DOI 10.1093/milmed/usaa156
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  2. Article ; Online: Open-globe injuries: A global issue of protection.

    Colyer, Marcus H

    Clinical & experimental ophthalmology

    2019  Volume 47, Issue 4, Page(s) 437–438

    MeSH term(s) Eye ; Eye Injuries ; Eye Injuries, Penetrating ; Humans ; Morbidity ; New Zealand
    Language English
    Publishing date 2019-07-08
    Publishing country Australia
    Document type Editorial ; Comment
    ZDB-ID 2014008-3
    ISSN 1442-9071 ; 1442-6404
    ISSN (online) 1442-9071
    ISSN 1442-6404
    DOI 10.1111/ceo.13562
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  3. Article ; Online: Complex ocular trauma outcomes and system capabilities: lessons from a combat zone and implications for national eye trauma care.

    Colyer, Marcus H / Mazzoli, Robert A

    Eye (London, England)

    2021  Volume 35, Issue 8, Page(s) 2069–2070

    MeSH term(s) Emergency Medical Services ; Eye Injuries/therapy ; Humans ; Trauma Severity Indices
    Language English
    Publishing date 2021-02-12
    Publishing country England
    Document type Editorial ; Comment
    ZDB-ID 91001-6
    ISSN 1476-5454 ; 0950-222X
    ISSN (online) 1476-5454
    ISSN 0950-222X
    DOI 10.1038/s41433-020-01319-7
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  4. Article ; Online: ACUTE POSTERIOR MULTIFOCAL PLACOID PIGMENT EPITHELIOPATHY AFTER IMMUNIZATION WITH MULTIPLE VACCINES.

    Kraemer, Laura S / Montgomery, Jay R / Baker, Katherine M / Colyer, Marcus H

    Retinal cases & brief reports

    2020  Volume 16, Issue 1, Page(s) 16–19

    Abstract: Purpose: To report a case of acute posterior multifocal placoid pigment epitheliopathy occurring in temporal association with multiple immunizations in a previously healthy 25-year-old woman.: Methods: Acute posterior multifocal placoid pigment ... ...

    Abstract Purpose: To report a case of acute posterior multifocal placoid pigment epitheliopathy occurring in temporal association with multiple immunizations in a previously healthy 25-year-old woman.
    Methods: Acute posterior multifocal placoid pigment epitheliopathy was diagnosed based on ophthalmological findings of bilateral placoid subretinal lesions complicated by a serous retinal detachment in the left eye.
    Results: Through HLA typing, the patient was found to possess the HLA-B*40 and HLA-DB1*15 alleles. She was treated with topical prednisolone acetate 1% and monitored for several months. The serous retinal detachment resolved, and visual acuity returned to normal.
    Conclusion: This case report adds to the body of knowledge regarding possible atypical interplay between vaccines and specific T-cell receptors of the host immune system and adds Polio and Tetanus to the growing list of vaccines potentially triggering acute posterior multifocal placoid pigment epitheliopathy. Increased awareness of the presentation of acute posterior multifocal placoid pigment epitheliopathy and that it may arise after immunization may also improve evaluation of acute changes in visual acuity.
    MeSH term(s) Adult ; Female ; Humans ; Vaccines/adverse effects ; White Dot Syndromes/diagnosis
    Chemical Substances Vaccines
    Language English
    Publishing date 2020-01-27
    Publishing country United States
    Document type Case Reports
    ISSN 1937-1578
    ISSN (online) 1937-1578
    DOI 10.1097/ICB.0000000000000959
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  5. Article ; Online: Ophthalmic Trauma Malpractice in the Ophthalmic Mutual Insurance Company Database.

    Justin, Grant A / Woreta, Fasika A / Colyer, Marcus H / Auran, James D / Pelton, Ron W / Rapuano, Christopher J / Menke, Anne M

    Eye (London, England)

    2022  Volume 37, Issue 1, Page(s) 109–119

    Abstract: Purpose: To review ophthalmic trauma malpractice claims in the Ophthalmic Mutual Insurance Company (OMIC) database to determine the frequency and causes of litigation.: Methods: A retrospective case series analysis of ophthalmic trauma claims from ... ...

    Abstract Purpose: To review ophthalmic trauma malpractice claims in the Ophthalmic Mutual Insurance Company (OMIC) database to determine the frequency and causes of litigation.
    Methods: A retrospective case series analysis of ophthalmic trauma claims from 2009 to 2019 was completed. Cases were selected only if the injury was secondary to trauma (e.g., fall, gunshot wound, paintball injury, etc.); iatrogenic traumatic surgical injuries were excluded.
    Results: 31 closed cases associated with 40 total claims related to ophthalmic trauma out of 2565 claims (1.56%) in the OMIC database were analysed. 13 of the 31 cases (41.9%) were decided for the plaintiff. In decisions for the plaintiff, the median settlement amount was $330,000 (range $125,000-$1,000,000). The most frequent initial diagnoses were corneal abrasion (n = 10), hyphema (n = 5) and open-globe injury (n = 5), and the most common final diagnoses were endophthalmitis (n = 8), intraocular foreign body (n = 7) and retinal detachment (n = 7). The most common causes of malpractice litigation were a delay in referral or follow-up (n = 11) and failure to get appropriate imaging (n = 8). In the 13 cases decided for the plaintiff, experts concluded nine did not meet standard of care.
    Conclusions: Ophthalmic trauma malpractice claims are very uncommon in the United States, however, the payout is higher than non-trauma settlements, and approximately 40% of cases were decided for the plaintiff. Care could be improved with a careful history and complete ophthalmic examination (with dilated fundoscopy), imaging in appropriate patients, meticulous documentation, and early sub-specialist referral when the diagnosis or management plan was unclear.
    MeSH term(s) Humans ; United States ; Retrospective Studies ; Wounds, Gunshot ; Malpractice ; Databases, Factual ; Eye Foreign Bodies ; Insurance
    Language English
    Publishing date 2022-01-14
    Publishing country England
    Document type Journal Article
    ZDB-ID 91001-6
    ISSN 1476-5454 ; 0950-222X
    ISSN (online) 1476-5454
    ISSN 0950-222X
    DOI 10.1038/s41433-021-01893-4
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  6. Article ; Online: Risk Factors for Failure of Final Anatomic Surgical Reattachment in Retinal Detachments From Combat Ocular Trauma.

    Purt, Boonkit / Justin, Grant A / Baker, Katherine M / Brooks, Daniel I / Ryan, Denise S / Sia, Rose K / Weichel, Eric D / Colyer, Marcus H

    Ophthalmic surgery, lasers & imaging retina

    2022  Volume 53, Issue 9, Page(s) 493–501

    Abstract: Background and objective: The goal of this study was to determine the anatomic outcome of traumatic retinal detachment (RD) from combat ocular trauma.: Materials and methods: Retrospective study of patients sustaining a traumatic RD in Operation ... ...

    Abstract Background and objective: The goal of this study was to determine the anatomic outcome of traumatic retinal detachment (RD) from combat ocular trauma.
    Materials and methods: Retrospective study of patients sustaining a traumatic RD in Operation Iraqi Freedom and Operation Enduring Freedom who were evacuated to Walter Reed Army Medical Center from 2001 to 2011. The Fisher exact test, Wilcoxon rank sum test, and Agresti and Coull methods were used for analyses.
    Results: There were 143 eyes of 134 patients in which a traumatic RD developed, of a total of 890 eyes of 652 patients in the Walter Reed Ocular Trauma Database. Based on our results, predictors for failure to reattach the retina include maculaoff status (
    Conclusions: Traumatic RD due to injury sustained in a combat zone resulted in poor prognosis, with 82.09% of eyes with RD having a best-corrected visual acuity worse than 20/200. The anatomic success of RD repair was shown to be 65.71%, likely owing to the severity of the injuries, concomitant systemic injuries, and delayed surgical intervention.
    MeSH term(s) Eye Foreign Bodies/complications ; Humans ; Retinal Detachment/diagnosis ; Retinal Detachment/etiology ; Retinal Detachment/surgery ; Retrospective Studies ; Risk Factors ; Visual Acuity
    Language English
    Publishing date 2022-09-01
    Publishing country United States
    Document type Journal Article ; Research Support, U.S. Gov't, Non-P.H.S.
    ZDB-ID 2701167-7
    ISSN 2325-8179 ; 2325-8160
    ISSN (online) 2325-8179
    ISSN 2325-8160
    DOI 10.3928/23258160-20220815-01
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  7. Article ; Online: Disability-Adjusted Life Years Resulting from Ocular Injury among Deployed Service Members, 2001-2020.

    Travor, Mark D / Levine, Emily S / Catomeris, Andrew J / Purt, Boonkit / Gensheimer, William G / Justin, Grant A / Trevino, Jennifer D / Haagsma, Juanita A / Colyer, Marcus H / Staudt, Amanda M

    Ophthalmology

    2023  Volume 131, Issue 5, Page(s) 534–544

    Abstract: Purpose: To quantify the burden of ocular injuries on deployed US service members by calculating disability-adjusted life years (DALYs).: Design: Retrospective, observational cohort study.: Participants: US service members with ocular injuries ... ...

    Abstract Purpose: To quantify the burden of ocular injuries on deployed US service members by calculating disability-adjusted life years (DALYs).
    Design: Retrospective, observational cohort study.
    Participants: US service members with ocular injuries sustained in combat zones from January 1, 2001 to May 19, 2020.
    Methods: Health states and duration of injuries were identified using data from the Defense and Veterans Eye Injury and Vision Registry. These health states were mapped to disability weights from the Global Burden of Disease (GBD) study. Average duration of injury or illness was calculated until remission or death. For the latter, life expectancy at age of sustaining injury, as identified from US Life Tables from the National Vital Statistics Reports 2020, was used. Using Defense Manpower Data Center reports capturing number of service members deployed per year, incidence rates were calculated for ocular injury and DALYs.
    Main outcome measures: Disability-adjusted life years of ocular injury.
    Results: Seventeen thousand five hundred fifty-five patients sustained ocular injury that incurred DALYs. In total, these injuries resulted in 11 214 DALYs (average, 0.64 DALYs per included patient and 20.6 DALYs per 10 000 US service members per year). Severe impairment of distance vision (77.9%) and blindness (10.6%) were the primary contributors of DALYs. Although only 9.3% of patients sustained a permanent ocular injury, permanent disability accounted for 99.5% of total DALYs. The average yearly incidence rate of ocular injury was 32.0 cases per 10 000 US service members. Foreign body was the most frequent injury type (2754 occurrences), followed by abrasion (2419 occurrences) and multiple injury types (1429 occurrences). The most DALYs occurred in patients with multiple injury types (2485 DALYs), followed by abrasion (accounting for 725 DALYs) and foreign body (accounting for 461 DALYs).
    Discussion: We report higher average DALYs per case ratio among US service members compared with the general population studied by the GBD study, highlighting the differences in probabilities of permanent injury between the two studies. Our study provides understanding of the impact of ocular injuries on active-duty service members and lays the groundwork for further research and interventions to mitigate their burden.
    Financial disclosure(s): Proprietary or commercial disclosure may be found in the Footnotes and Disclosures at the end of this article.
    MeSH term(s) Humans ; Disability-Adjusted Life Years ; Quality-Adjusted Life Years ; Retrospective Studies ; Eye Injuries/epidemiology ; Foreign Bodies ; Multiple Trauma
    Language English
    Publishing date 2023-11-24
    Publishing country United States
    Document type Observational Study ; Journal Article
    ZDB-ID 392083-5
    ISSN 1549-4713 ; 0161-6420
    ISSN (online) 1549-4713
    ISSN 0161-6420
    DOI 10.1016/j.ophtha.2023.11.023
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  8. Article ; Online: Comparison of Simulation-Based versus Cadaveric-Tissue-Based Ocular Trauma Training on Novice Ophthalmologists: Repair of Corneal Laceration Model.

    Purt, Boonkit / Ducey, Timothy / Sykes, Sean / Pasternak, Joseph F / Ryan, Denise S / Sia, Rose K / Colyer, Marcus H

    Journal of academic ophthalmology (2017)

    2021  Volume 13, Issue 1, Page(s) e57–e65

    Abstract: ... ...

    Abstract Purpose
    Language English
    Publishing date 2021-04-20
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2897840-7
    ISSN 2475-4757 ; 2475-4757
    ISSN (online) 2475-4757
    ISSN 2475-4757
    DOI 10.1055/s-0041-1725093
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  9. Article ; Online: The Impact of Combat Ocular Trauma and Traumatic Brain Injury on Vision- and Health-Related Quality of Life Among U.S. Military Casualties.

    Sia, Rose K / Ryan, Denise S / Brooks, Daniel I / Kagemann, Janice M / Bower, Kraig S / French, Louis M / Justin, Grant A / Colyer, Marcus H

    Military medicine

    2021  Volume 187, Issue 1-2, Page(s) 209–215

    Abstract: Purpose: The purpose of this study was to assess visual and health-related quality of life (QOL) among U.S. military service members who sustained combat ocular trauma (COT) with or without associated traumatic brain injury (TBI).: Methods: This was ... ...

    Abstract Purpose: The purpose of this study was to assess visual and health-related quality of life (QOL) among U.S. military service members who sustained combat ocular trauma (COT) with or without associated traumatic brain injury (TBI).
    Methods: This was a single-center, prospective observational study of U.S. service members (n = 88) with COT who were treated at Walter Reed National Military Medical Center. Participants completed the National Eye Institute Visual Function Questionnaire (VFQ-25) at enrollment and at follow-up (>1 year) and supplemental surveys: Neurobehavioral Symptom Inventory, the Medical Outcomes 36-item Short Form Survey (SF-36), and Mayo-Portland Adaptability Inventory.
    Results: Initial and follow-up VFQ-25 showed a statistically significant increase in median scores for near activities (initial: 75.0, follow-up 83.3; P = .004) and peripheral vision (initial: 50.0, follow-up: 75.0; P = .009) and in composite scores (initial: 79.5, follow-up: 79.8; P = .022). Comparing those who did (n = 78) and did not (n = 8) have a TBI history, there were no significant differences in median change in VFQ-25 composite scores (with TBI: 2.3 vs. no TBI: 10.7; P = .179). Participants with a TBI history had a significantly lower median SF-36 General Health score (with TBI: 67.5 vs. no TBI: 92.5; P = .009).
    Conclusions: Vision-related QOL of COT patients is generally good in the long term. However, those with both COT and a history of TBI conditions showed significantly worse functioning in several domains than those without TBI. As TBI is a common finding in COT, this association is an important factor impacting this population's overall clinical presentation and daily functions.
    MeSH term(s) Brain Injuries, Traumatic/complications ; Eye Injuries ; Humans ; Military Personnel ; Quality of Life ; Surveys and Questionnaires ; Visual Acuity
    Language English
    Publishing date 2021-06-11
    Publishing country England
    Document type Journal Article ; Observational Study ; Research Support, U.S. Gov't, Non-P.H.S.
    ZDB-ID 391061-1
    ISSN 1930-613X ; 0026-4075
    ISSN (online) 1930-613X
    ISSN 0026-4075
    DOI 10.1093/milmed/usab233
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  10. Article ; Online: Endophthalmitis: a bibliographic review.

    Wade, Christian I / Whitescarver, Todd D / Ashcroft, Cody R / Hobbs, Samuel D / Purt, Boonkit / Reddy, Ashvini K / Colyer, Marcus H / Justin, Grant A

    International ophthalmology

    2021  Volume 41, Issue 12, Page(s) 4151–4161

    Abstract: Purpose: To analyze the 100 most cited articles pertaining to endophthalmitis using bibliometric analysis.: Methods: An all-time Web of Science literature search and refined to peer-reviewed articles in the field of ophthalmology with the keyword " ... ...

    Abstract Purpose: To analyze the 100 most cited articles pertaining to endophthalmitis using bibliometric analysis.
    Methods: An all-time Web of Science literature search and refined to peer-reviewed articles in the field of ophthalmology with the keyword "endophthalmitis" was completed. Total citation count of articles published pertaining to endophthalmitis, topic, incidence rate, publishing journals, year published, language, country of origin, number of authors, names of the first and last authors, study type, and number of patients/eyes studied.
    Results: The top 100 most cited articles pertaining to endophthalmitis had a mean citation count of 362.92, with a range of 175 to 3583. They were published in 20 peer-reviewed journals, with Ophthalmology publishing the most (n = 42). Thirteen different countries were represented, with the majority (n = 77) originating from the USA. The most common study type was clinical experiences (n = 52), though eight of the top ten were clinical trials. The number of patients varied widely, represented by a mean of 9680, but with a median of only 229. The majority (n = 67) examined the incidence of endophthalmitis which included 24 articles after anti-vascular endothelial growth factor injections, 18 after ocular surgeries/procedures, 15 after intraocular steroid injections, eight after chemotoxic drug use, and three after ocular injuries.
    Conclusion: This bibliographic study serves as a unique historical analysis of the top 100 cited scholarly articles pertaining to endophthalmitis with many of the articles related to post-procedural endophthalmitis.
    MeSH term(s) Bibliometrics ; Endophthalmitis/epidemiology ; Endophthalmitis/etiology ; Humans ; Injections, Intraocular ; Ophthalmology
    Language English
    Publishing date 2021-07-27
    Publishing country Netherlands
    Document type Journal Article ; Review
    ZDB-ID 800087-6
    ISSN 1573-2630 ; 0165-5701
    ISSN (online) 1573-2630
    ISSN 0165-5701
    DOI 10.1007/s10792-021-01967-y
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