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Journal of Ophthalmology
Volume 2013, Article ID 308259, 8 pages
Research Article

Anterior Segment Imaging in Combat Ocular Trauma

1U.S. Army Warfighter Refractive Surgery Research Center at Fort Belvoir, Fort Belvoir, VA 22060, USA
2Ophthalmology, Walter Reed National Military Medical Center, Bethesda, MD 20889, USA
3The Wilmer Eye Institute, Johns Hopkins University, Baltimore, MD 21093, USA

Received 3 July 2013; Accepted 29 August 2013

Academic Editor: Nir Shoham-Hazon

Copyright © 2013 Denise S. Ryan et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Purpose. To evaluate the use of ocular imaging to enhance management and diagnosis of war-related anterior segment ocular injuries. Methods. This study was a prospective observational case series from an ongoing IRB-approved combat ocular trauma tracking study. Subjects with anterior segment ocular injury were imaged, when possible, using anterior segment optical coherence tomography (AS-OCT), confocal microscopy (CM), and slit lamp biomicroscopy. Results. Images captured from participants with combat ocular trauma on different systems provided comprehensive and alternate views of anterior segment injury to investigators. Conclusion. In combat-related trauma of the anterior segment, adjunct image acquisition enhances slit lamp examination and enables real time In vivo observation of the cornea facilitating injury characterization, progression, and management.