Open research questions in Traumatic Ocular and Foreign Body Injuries
47 unresolved questions extracted from the limitations and future-work sections of 470 Traumatic Ocular and Foreign Body Injuries papers in our library. Each links back to the study that raised it.
What the literature leaves open
There is a lack of research on the independent predictors of surgical intervention in patients with forensic-reported sharp and penetrating injuries. Prior studies have investigated the epidemiological characteristics of these injuries, but few have identified predictors of surgical intervention.
Epidemiological characteristics and predictors of surgical intervention in forensic sharp and penetrating injuries · 2026 · DOIThere is a lack of awareness about occupational ocular injuries among workers. There is a need for better enforcement of occupational safety measures. There is a gap in the utilization of protective measures among workers.
Characteristics and Awareness of Occupational Ocular Injuries and Protective Measures among Workers in the Outskirts of Chennai · 2026 · DOIThe study faces challenges in terms of the limited availability of physical evidence. The paper must also contend with the risk of confirmation bias in investigations. The analysis of the trauma and the Bloodstain Pattern Analysis requires specialized expertise.
High mortality rates and unpredictable neurological outcomes among survivors. Limited data addressing the distinct pathophysiology and outcomes in low-velocity penetrating wounds. Difficulty in predicting outcomes due to variable tract trajectories and retained foreign material.
Clinical and Radiological Predictors of Outcome in Non-Missile Low-Velocity Penetrating Brain Injury: A 10-year Retrospective Cohort Study · 2026 · DOIUndertriage of ocular trauma at the primary care level. Lack of slit-lamp examination equipment and fluorescein staining at primary care facilities. Non-use of protective eyewear among industrial workers.
Ocular Trauma Management in Industrial Workers at Primary Care Services: A Systematic Review of Randomized Controlled Trials and Primary Studies · 2026 · DOIThe study identifies the challenge of preventing firecracker-related ocular trauma, particularly among young males. The study highlights the need for awareness and education about the risks of firecracker-related ocular trauma.
A retrospective observational study of ocular firecracker injuries during Diwali in the year 2023 encountered at a tertiary care hospital in Ahmedabad, Gujarat, India · 2026 · DOIAmong the strengths of the study are its large sample size and specific focus on ocular trauma, an area that remains under- explored in the existing sports and eye medicine literature. However, some limitations may hamper the reliability of the proposed results. Several effect estimates, especially those for the highest playing-frequency categories and for advanced or profes- sional skill levels, are accompanied by wide 95%CIs, likely reflecting sparse data within certain strata and heterogeneity in self-reported exposures. Although the direction of associations was consistent across analyses and supported by adequate statistical power, the reliance on self-reported data introduces potential recall bias and inaccurate estimation of In particular, ocular diagnoses (i.e., both pre-existing conditions and padel-related injuries) were reported by respondents through a structured questionnaire rather than confirmed by ophthalmic examination, raising the possibility of misclassification or misunderstanding of medical terminology (e.g., “macular edema” or “retinal detach- ment”). Moreover, although the questionnaire underwent internal review and pilot testing, it did not undergo formal external injury severity.
Ocular injuries in padel: findings from a survey on frequency, risk factors, and perceptions toward protective eyewear · 2026 · DOIThe study identifies a gap in the understanding of ballistic bone fracture patterns under longitudinal loading. The study aims to investigate the effect of longitudinal loading on ballistic bone fracture patterns.
The effect of longitudinal loading under weight-bearing conditions on ballistic long bone fracture patterns – an experimental study on porcine femora · 2026 · DOIThere is a lack of understanding of the effects of sex and bat size on head-directed blunt strikes. Prior studies have not examined the kinematic and spatial parameters of head-directed blunt strikes in detail.
The potential for significant concurrent posterior segment injury in sports-related ocular trauma may be easily overlooked. There is a need for a comprehensive anterior and posterior segment evaluation in all cases of ocular trauma.
From Field to Fundus: A Peripheral Retinal Tear Following Football-Related Ocular Trauma · 2026 · DOIThe review suggests that future research should focus on the development and consistent application of appropriate guidelines in experimental ballistic studies. The review highlights the need for standardized reporting frameworks in experimental ballistic studies.
Animal models in gunshot injury studies: A scoping review of model selection and quality assessment in ballistic research · 2026 · DOIThe review identifies a gap in the methodological quality of animal models used in gunshot injury research. The review notes that the development and consistent application of appropriate guidelines are essential to enhance the reliability, reproducibility, and forensic applicability of experimental ballistic studies.
Animal models in gunshot injury studies: A scoping review of model selection and quality assessment in ballistic research · 2026 · DOIThe study is limited to six clinical cases, which may not be representative of all firework-related hand injuries. The study does not provide a control group for comparison. The study relies on retrospective data, which may be subject to bias.
Management and Outcomes of Firework-Related Hand Blast Injuries: A Case Series on Surgical Decision-Making, Functional Preservation, and Psychosocial Recovery · 2026 · DOIThere is limited literature integrating surgical decision-making with long-term functional and psychosocial recovery in firework-related hand injuries. The study identifies a need for individualized surgical management strategies and multidisciplinary rehabilitation.
Management and Outcomes of Firework-Related Hand Blast Injuries: A Case Series on Surgical Decision-Making, Functional Preservation, and Psychosocial Recovery · 2026 · DOIThe study is limited to the analysis of the available evidence and may not have access to all relevant information. The paper relies on the application of scientific methods to re-examine the evidence, which may be subject to interpretation.
Prognostic indicators for non-missile low-velocity penetrating brain injuries are less well characterized. Limited data addressing the distinct pathophysiology and outcomes in low-velocity penetrating wounds.
Clinical and Radiological Predictors of Outcome in Non-Missile Low-Velocity Penetrating Brain Injury: A 10-year Retrospective Cohort Study · 2026 · DOIThere is a lack of data on the frequency and characteristics of eye injuries in children aged 0 to 15 years. There is a need for early screening and prevention to reduce the risk of amblyopia and childhood blindness.
Eye Injuries in Children Aged 0 to 15: Epidemiological, Clinical and Therapeutic Aspects at the Ophthalmology Department of Kankan Regional Hospital · 2026 · DOIThe management of ocular trauma at the primary care level is variable and incompletely characterized. There is a need for a comprehensive evaluation of ocular trauma management interventions at the primary care level. The review aims to address this gap by evaluating the effectiveness of ocular trauma management interventions.
Ocular Trauma Management in Industrial Workers at Primary Care Services: A Systematic Review of Randomized Controlled Trials and Primary Studies · 2026 · DOIThere is a need for further research on the epidemiology and management of airgun injuries. The study highlights the importance of raising awareness about the severity of airgun injuries.
Isolated Facial Wound from an Airgun in a Child: A Literature Review and Clinical Case Report · 2026 · DOIAvailable literature provides fragmented data regarding the morphology of such injuries, associated complications, and optimal approaches to treatment.
CHARACTERISTICS OF MAXILLOFACIAL INJURIES CAUSED BY MINE-EXPLOSIVE WEAPONS: BALLISTIC ASPECTS, COMPLICATIONS AND MODERN APPROACHES TO COMPREHENSIVE REHABILITATION · 2026 · DOIThe exact nature of the tissue damage caused by adhesion to cold metal surfaces has not yet been systematically studied. Prior studies have not investigated the relationship between metal temperature, detachment force, and tissue damage.
The trauma of the tundra tongue: an experimental and computational study of lingual tissue damage following adhesion to a cold metal lamp post · 2026 · DOIThese inju- ries, which occur without tissue freezing, include epider- mal stripping (damage limited to the stratum corneum), tension blistering (separation of dermis from epidermis), and skin tears (avulsion of either the epidermis alone, or both the dermis and epidermis). While most MARSIs are superficial, limited to the stratum corneum, deeper avulsions have been reported, especially in elderly patients [28–30].
The trauma of the tundra tongue: an experimental and computational study of lingual tissue damage following adhesion to a cold metal lamp post · 2026 · DOIThere is a lack of reported cases of bilateral circumorbital ecchymosis and unilateral subconjunctival hemorrhage following surgical removal of an impacted maxillary canine.
Bilateral Circumorbital Ecchymosis and Unilateral Subconjunctival Hemorrhage Following Surgical Removal of an Impacted Maxillary Canine: A Rare Case Report · 2026 · DOIThere is a need to investigate the pattern and nature of skull fractures in blunt head trauma. There is a lack of understanding of the influence of the direction of application of force and the thickness of the skull on the fracture pattern.
Future recommendations: Further studies of biomechanics of skull fractures using postmortem human surrogates by using quantified force for determining the threshold for injury and to evaluate the mechanics of skull fractures after obtaining ethical protocols of dead body donor programmes and ethical guidelines.
Most-cited papers in Traumatic Ocular and Foreign Body Injuries
- Traumatic Optic Neuropathy: A Review · Craniomaxillofacial Trauma & Reconstruction · 2014 · 68 citations
- Review of Military Casualties in Modern Conflicts—The Re-emergence of Casualties From Armored Warfare · Military Medicine · 2021 · 57 citations
- Fracture Pattern Interpretation in the Skull: Differentiating Blunt Force from Ballistics Trauma Using Concentric Fractures · Journal of Forensic Sciences · 2005 · 44 citations
- Application of Hemostatic Tourniquet on Wounded Extremities in Modern “Trench” Warfare: The View of a Vascular Surgeon · Military Medicine · 2022 · 30 citations
- Ocular Trauma and Traumatic Brain Injury on the Battlefield: A Systematic Review After 20 Years of Fighting the Global War on Terror · Military Medicine · 2022 · 22 citations
- A Systematic Review on the Effectiveness of Eyewear in Reducing the Incidence and Severity of Eye Injuries in Racket Sports · The Physician and Sportsmedicine · 2023 · 14 citations
- Associated Ophthalmic Injuries in Patients With Fractures of the Midface · Craniomaxillofacial Trauma & Reconstruction · 2020 · 12 citations
- A Swedish nationwide forensic study of the manner of death in single stab injuries to the trunk · Forensic Science International · 2023 · 11 citations
- Penetrated Shotgun Pellets: A Case Report · European Journal of Dentistry · 2008 · 10 citations
- Needlestick and sharps injuries at a German university hospital: epidemiology, causes and preventive potential – a descriptive analysis · International Journal of Occupational Medicine and Environmental Health · 2022 · 9 citations
Most recent work
- Animal models in gunshot injury studies: A scoping review of model selection and quality assessment in ballistic research · Forensic Science Medicine and Pathology · 2026
- Civil Defense 9mm+P/9mm+P Ultra-Lights Bullets · American Journal of Forensic Medicine & Pathology · 2026
- Radiolucent shrapnel injuries in war veterans: a retrospective clinical observational study from a rehabilitation medicine perspective · International Journal of Rehabilitation Research · 2026
- Eye injury without a wound · Emergency Medicine Journal · 2026
- Lethal trajectory: a case of fatal injury from an accidentally projected metal fragment · Legal Medicine · 2026
- Distal phalanx of the hand’s digit as unusual autologous biological tissue acting as a contaminating foreign body in a combat patient with ballistic pelvic injury: a case report from war in Ukraine · International Journal of Emergency Medicine · 2026
- Ocular injuries in padel: findings from a survey on frequency, risk factors, and perceptions toward protective eyewear · Eye · 2026
- The effect of longitudinal loading under weight-bearing conditions on ballistic long bone fracture patterns – an experimental study on porcine femora · International Journal of Legal Medicine · 2026
- Biomechanical effects of sex and bat size on head-directed blunt strikes · Frontiers in Bioengineering and Biotechnology · 2026
- Choroidal rupture after blunt ocular trauma in a 21-year-old patient: Case report · Annales Academiae Medicae Silesiensis · 2026
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