REFRACTIVE ERRORS AND OCULAR TRAUMA IN MILITARY FORCES AS FACTORS OF AWARENESS AND SOCIOECONOMIC IMPACT
Clinical medicine

REFRACTIVE ERRORS AND OCULAR TRAUMA IN MILITARY FORCES AS FACTORS OF AWARENESS AND SOCIOECONOMIC IMPACT

Published 2026-06-30

Authors:

Orucova S.R.
Azerbaijan Medical University image/svg+xml
https://orcid.org/0009-0004-3244-2812

Abstract:
The purpose of the study was to assess, across different military contingents, the level of awareness regarding refractive errors, ophthalmic trauma and their correction, first-aid behaviours, and knowledge related to enhancing the long-term effectiveness of refractive laser procedures in the context of their potential impact on military service preparedness and the state budget. A cross-sectional questionnaire survey was conducted among 20–35-year-old service members serving in various military structures of Azerbaijan. In total, 450 respondents (mean age 25.4 years) participated; of these, 205 (45.6 %) belonged to the military-medical education group and 245 (54.4 %) to the group without military-medical education. In both groups, refractive correction was widespread (use of spectacles and/or contact lenses was reported by 87.3 % in the military-medical group and 87.8 % in the other group). However, experience of refractive laser surgery was more frequent in the military-medical group than in the other group, amounting to 15.1 % and 6.1 %, respectively (p=0.002).
Keywords:
refractive errors military personnel ophthalmic trauma refractive laser surgery first aid military-medical education state budget
References:
  1. AlMahmoud T, Elkonaisi I, Grivna M, Abu-Zidan FM. Personal protective eyewear usage among industrial workers in small-scale enterprises. Inj Epidemiol. 2020 Sep 22;7(1):54. doi: 10.1186/s40621-020-00280-z.
  2. Cason J, Jung H, Kaupp S, Magone M, Godiwalla R. Long-Term Outcomes of Refractive Surgery Performed During the Military. Mil Med. 2019;184(11-12):e808-e812. doi: 10.1093/milmed/usz096.
  3. Dang Sh. Workplace Eye Injuries Cost Time, Money, and Vision. Published Jan. 24, 2024. Available at: https://www.aao.org/eye-health/tips-prevention/injuries-work?utm_source.
  4. Frick KD, Singman EL. Cost of Military Eye Injury and Vision Impairment Related to Traumatic Brain Injury: 2001-2017. Military Medicine. 2019;184(5-6):e338-e343. doi: 10.1093/milmed/usy420.
  5. Gasimov EM, Huseynli SF. Evaluation of the effectiveness of excimer laser correction of refractive errors in military conscripts. Azerbaijan Journal of Ophthalmology. 2020;4(35):28-37 [In Azerb].
  6. Godiwalla RY, Magone MT, Kaupp SB, Jung H, Cason JB. Long-Term Outcomes of Refractive Surgery Performed During the Military. Mil Med. 2019 Dec 1;184(11-12):e808-e812. doi: 10.1093/milmed/usz096.
  7. He R, Wang Q, Du F, Cheng S, Fang Y, Zhao Z, et al. Clinical analysis of dry eye after refractive surgery in army recruits in 2024. Sci Rep. 2025;15(1):31798. doi: 10.1038/s41598-025-17572-3.
  8. Jonak K, Matysiak M, Choragiewicz T, Nowakowska D, Zimenkovsky A, Shybinskyi V, et al. War-related eye trauma: a study of civilian and military cases from Ukraine's ongoing conflict. Front Public Health. 2025;13:1489445. doi: 10.3389/fpubh.2025.1489445.
  9. Lee I, Davis B, Purt B, DesRosiers T. Ocular trauma and traumatic brain injury on the battlefield: a systematic review after 20 years of fighting the global war on terror. Mil Med. 2023;188(9-10):2916-2923. doi: 10.1093/milmed/usac226.
  10. Lia C, Fuc Y, Liua Sh, Yua H, Yanga X, Zhang M, et al. The global incidence and disability of eye injury: an analysis from the Global Burden of Disease Study 2019. The Lancet. 2023. 62102134, August. doi: 10.1016/j.eclinm.2023.102134.
  11. Mulligan K, Staudt AM, Martinez Camarillo JC, Seabury SA, Humayun MS. Value of Reduced Time to Repair for Combat Ocular Trauma. Ophthalmology. 2026;133(1):110-118. doi: 10.1016/j.ophtha.2025.07.041.
  12. Nitzan I, Heller D, Chan CC, Mimouni M, Safir M. Dry eye disease treatment following refractive surgery among young patients: a population-based study. Eye (Lond). 2025 Jul;39(10):1954-1960. doi: 10.1038/s41433-025-03783-5.
  13. Omar R, Anan NS, Azri IA, Majumder C, Knight VF. Characteristics of eye injuries, medical cost and return-to-work status among industrial workers: a retrospective study. BMJ Open. 2022;12:e048965. doi: 10.1136/bmjopen-2021-048965.
  14. Orujova SR. Comparative analysis of refractive correction methods in military personnel: risks, opportunities, and effectiveness (literature review). Azerbaijan Journal of Ophthalmology. 2025;17;3(54):91-103. doi: 10.71110/ajo7910202517035491103 [In Azerb].
  15. Rana V, Patra VK, Bandopadhayay S, Raj B, Singh G. Combat ocular trauma in counterinsurgency operations. Indian J Ophthalmol. 2023;71(12):3615-3619. doi: 10.4103/IJO.IJO_609_23.
  16. Shakarchy-Kaminsky N, Ullman D, Gaton DD, Ziv Y, Benov A, Ben-Simon GJ, et al. Combat-related ocular injuries in the Israel Defense Forces during the years 2013 to 2019. J Trauma Acute Care Surg. 2021;91(2):368-374. doi: 10.1097/TA.0000000000003233.
Publication:
«World of Medicine and Biology» Vol. 22 No. 96 (2026) , с. 97-101
УДК 617.753.25