Importance A review of the injury patterns, treatment strategies, and responding physicians’ experience during the Port of Beirut blast may help guide future ophthalmic disaster response plans.

Objective To present the ophthalmic injuries and difficulties encountered as a result of the Port of Beirut blast on August 4, 2020.

Design, Setting, and Participants A retrospective medical record review of all patients who presented to the emergency department and 13 ophthalmology outpatient clinics at the American University of Beirut Medical Center for treatment of ophthalmic injuries sustained from the explosion in Port of Beirut, Beirut, Lebanon, from August 4 to the end of November 2020. Patients were identified from emergency records, outpatient records, and operative reports.

Main Outcomes and Measures Types of ocular injuries, final best-corrected visual acuity, and need for surgical intervention were evaluated. Visual acuity was measured with correction based on noncycloplegic refraction using the Snellen medical record.

Exposures Ocular or ocular adnexal injuries sustained from the Port of Beirut explosion.

Results A total of 39 blast survivors with ocular injuries were included in this study. Twenty-two patients presented with ocular injuries on the day of the blast, and 17 patients presented within the following 3 months to the ophthalmology clinics for a total of 48 eyes of 39 patients were treated secondary to the blast. Thirty-five patients (89.6%) were adults, and 24 (61.5%) were female. A total of 21 patients (53.8%) required surgical intervention, more than half of which were urgently requested on the same day of presentation (14 [35.9%]). Most eye injuries were caused by debris and shrapnel from shattered glass leading to surface injury (26 [54.2%]), eyelid lacerations (20 [41.6%]), orbital fractures (14 [29.2%]), brow lacerations (10 [20.8%]), hyphema (9 [18.8%]), open globe injuries (10 [20.8%]), and other global injuries. Only 7 injured eyes (14.5%) had a final best-corrected visual acuity of less than 20/200, including all 4 open globe injuries with primary no light perception (8.3%) requiring enucleation or evisceration.

Conclusions and Relevance In the aftermath of the Port of Beirut explosion, a review of the ophthalmic injuries showed a predominance of shrapnel-based injuries, many of which had a delayed presentation owing to the strain placed on health care services. Reverting to basic approaches was necessary in the context of a malfunctioning electronic medical record system.

重要性 回顾贝鲁特港爆炸期间的伤害模式、治疗策略和应对医生的经验可能有助于指导未来的眼科灾难应对计划。

目的 介绍 2020 年 8 月 4 日贝鲁特港爆炸造成的眼部损伤和困难。

设计、设置和参与者 对所有在贝鲁特美国大学医学中心急诊科和 13 家眼科门诊就诊的患者进行回顾性医疗记录审查，以治疗黎巴嫩贝鲁特贝鲁特港爆炸造成的眼部损伤，从 2020 年 8 月 4 日至 11 月底。从急诊记录、门诊记录和手术报告中确定患者。

主要结果和措施 评估 了眼部损伤的类型、最终最佳矫正视力和手术干预的需要。使用 Snellen 医疗记录根据非散瞳屈光度校正测量视力。

暴露 贝鲁特港爆炸造成的眼部或眼部附件损伤。

结果 本研究共纳入 39 名眼部受伤的爆炸幸存者。22 名患者在爆炸当天出现眼部损伤，17 名患者在接下来的 3 个月内到眼科诊所就诊，共有 39 名患者的 48 只眼在爆炸后继发治疗。35 名患者（89.6%）为成人，24 名（61.5%）为女性。共有 21 名患者 (53.8%) 需要手术干预，其中一半以上是在就诊当天紧急要求的 (14 [35.9%])。大多数眼部损伤是由碎玻璃碎片和弹片导致表面损伤（26 [54.2%]）、眼睑裂伤（20 [41.6%]）、眼眶骨折（14 [29.2%]）、额头裂伤（10 [20.8] %])、前房积血 (9 [18.8%])、开放性眼球损伤 (10 [20.8%]) 和其他全球性损伤。只有 7 只受伤的眼睛 (14.

结论和相关性 在贝鲁特港爆炸后，对眼部损伤的回顾显示，以弹片为基础的损伤占主导地位，其中许多由于医疗保健服务的压力而延迟出现。在电子病历系统出现故障的情况下，有必要恢复基本方法。