Page 125 - JSOM Winter 2017

M.R. wrote the first draft. C.H., R.M., M.C., S.B, C.C., J.K.,
C.M., F.B., and S.S. contributed additional literature review
and provided operational input, and all authors read and ap-
proved the final manuscript.

Disclaimer
Figure 21 Extensive facial The views expressed in this article are those of the author(s)
burns with lid contraction
and orbital congestion. and do not reflect the official policy or position of the De-
(Photograph by partment of the Army, Department of Defense, or the US
COL Mark Reynolds.) Government.

(A) Disclosures
The authors have nothing to disclose.
Figure 22 (A) Exposure
keratopathy; (B) with
fluorescein staining. (http:// References
EyeRounds.org/cases/189- 1. US Army Institute of Surgical Research. Joint Trauma System
exposure-keratopathy.htm; clinical practice guideline. Initial care of ocular and adnexal
reprinted with permission (B) injuries by non-ophthalmologists at role 1, role 2, and non-
of The University of Iowa ophthalmic role 3 facilities. 24 November 2014. http://www
and EyeRounds.org.) .usaisr.amedd.army.mil/cpgs/Initial_Care_of_Ocular_and_Adnexal
_Injuries_24Nov2014.pdf. Accessed 1 November 2017.
2. Butler FK Jr. The eye in the wilderness. In: Auerbach P (ed.)
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■ Minimum cal practice guideline. Analgesia and sedation management during
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latum or methylcellulose drops to keep the ocular .mil/cpgs/PFC_Analgesia_Sedation_11May2017.pdf. Accessed 1
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o Gentle horizontal taping of lids with hypoallergenic associated with combat-related eye, maxillofacial, and neck inju-
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a lubricant, because if can cause corneal toxicity. When 1583–1588.
18
used for ultrasound examination, place a thin film (e.g., 13. Albiani DA, Hodge WG, Pan YI, et al. Tranexamic acid in the
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Appendix D provides pack and planning considerations, and ment: the value of oxygen supplementation. Am J Ophthalmol.
Appendix E is an ocular injuries and vision-threatening condi- 1999;128:155–164.
tions summary table. 15. Rapp J, Plackett TP, Crane J, et al. Acute traumatic wound man-
agement in the prolonged field care setting. J Spec Oper Med.
Acknowledgments 2017;17(2):132–149.
The authors acknowledge the University of Iowa and Eye 16. Long J, Tann T. Orbital trauma. Ophthalmol Clin North Am.
Rounds.org for permission to reproduce copyrighted material 2002;15;249–253.
(Figures 12, 15, 19, and 22). 17. Colby K. Chemical injuries of the cornea. Focal Points: Clini-
cal Modules for Ophthalmologists. San Francisco, CA: American
Academy of Ophthalmology; 2010, module 1.
Author Contributions 18. Sawyer WI, Burwick K, Jaworski, et al. Corneal injury secondary
M.R., J.R., S.K., and S.S. conceived the concept for this clini- to accidental Surgilube exposure. Arch Ophthalmol. 2011;129:
cal practice guideline and coordinated the literature review. 1229–1230.

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