{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,5]],"date-time":"2026-05-05T06:16:22Z","timestamp":1777961782237,"version":"3.51.4"},"reference-count":5,"publisher":"Oxford University Press (OUP)","issue":"Supplement_1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2019,3,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>The Military Health System recognizes the importance of analyzing \u201cforeign bodies\u201d removed from US service members through several policy documents. This activity focuses on detecting potentially toxic metals. Intra-ocular \u201cforeign bodies\u201d (IOFBs) represent a small, clinically important subset. The development of ocular metallosis with iron and copper fragments is a specific local reaction to IOFBs. The results of the compositional analysis of removed IOFBs can influence clinical management decisions aimed at optimizing the preservation of sight.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Method<\/jats:title>\n                  <jats:p>The Joint Pathology Center (JPC) and Vision Center of Excellence (VCE) have established a pathway for the analysis of IOFBs removed from Department of Defense and Veterans Health Administration patients. The analysis of IOFBs uses analytical methods to provide information about the fragments\u2019 surface elemental and molecular composition.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Metallic specimens analyzed included iron and copper-containing fragments. Non-metallic IOFBs analyzed include glass, plastic (polyurethane), and nitro-cellulose fragments.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>The JPC\/VCE approach to analyzing IOFBs promotes uniform handling and shipping of specimens to minimize contamination. The analytical approach allows for the characterization of IOFBs with a wide variety of compositions. The results support clinical management decisions aimed at optimal treatment for the preservation of patients\u2019 visual acuity.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/milmed\/usy307","type":"journal-article","created":{"date-parts":[[2019,3,22]],"date-time":"2019-03-22T12:10:20Z","timestamp":1553256620000},"page":"565-570","source":"Crossref","is-referenced-by-count":1,"title":["The Joint Pathology Center\/Vision Center of Excellence Approach to Analyzing Intra-Ocular \u201cForeign Bodies\u201d"],"prefix":"10.1093","volume":"184","author":[{"given":"Michael R","family":"Lewin-Smith","sequence":"first","affiliation":[{"name":"The Joint Pathology Center, 606 Stephen Sitter Ave, Silver Spring, MD"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stacy L","family":"Strausborger","sequence":"additional","affiliation":[{"name":"The Joint Pathology Center, 606 Stephen Sitter Ave, Silver Spring, MD"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"H Marie","family":"Jenkins","sequence":"additional","affiliation":[{"name":"The Joint Pathology Center, 606 Stephen Sitter Ave, Silver Spring, MD"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Natalya","family":"Merezhinskaya","sequence":"additional","affiliation":[{"name":"DoD-VA Vision Center of Excellence, Walter Reed National Military Medical Center, 8901 Wisconsin Avenue, Bethesda, MD"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paul A","family":"Latkany","sequence":"additional","affiliation":[{"name":"New York Eye and Ear Infirmary of Mt. Sinai, 225 E 38th Street, Manhattan, NY"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robert A","family":"Mazzoli","sequence":"additional","affiliation":[{"name":"DoD-VA Vision Center of Excellence, Department of Ophthalmology, Madigan Army Medical Center, 6040 Jackson Ave, Tacoma, WA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marcus H","family":"Colyer","sequence":"additional","affiliation":[{"name":"Ophthalmology Department, Walter Reed National Military Medical Center, 8950 Brown Drive, Bethesda, MD"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael J","family":"Mines","sequence":"additional","affiliation":[{"name":"DoD-VA Vision Center of Excellence, Department of Ophthalmology, Madigan Army Medical Center, 6040 Jackson Ave, Tacoma, WA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2019,3,21]]},"reference":[{"key":"2019122604580067000_usy307C1","author":"Defense Health Agency"},{"key":"2019122604580067000_usy307C2","doi-asserted-by":"crossref","first-page":"1379","DOI":"10.1001\/archopht.1976.03910040247018","article-title":"Chalcosis in the human eye","volume":"94","author":"Rao","year":"1976","journal-title":"Arch Ophthalmol"},{"issue":"5","key":"2019122604580067000_usy307C3","first-page":"528","article-title":"Intraocular foreign bodies: a review","volume":"61","author":"Loporchi","year":"2016","journal-title":"Surv Ophthalmol"},{"issue":"5","key":"2019122604580067000_usy307C4","doi-asserted-by":"crossref","first-page":"823","DOI":"10.1016\/S0161-6420(00)00079-8","article-title":"Prognostic factors in ocular injuries caused by intraocular or retrobulbar foreign bodies","volume":"107","author":"Jonas","year":"2000","journal-title":"Ophthalmology"},{"key":"2019122604580067000_usy307C5","author":"Vision Center of Excellence"}],"container-title":["Military Medicine"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/academic.oup.com\/milmed\/article-pdf\/184\/Supplement_1\/565\/31616546\/usy307.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"http:\/\/academic.oup.com\/milmed\/article-pdf\/184\/Supplement_1\/565\/31616546\/usy307.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,12,26]],"date-time":"2019-12-26T04:59:31Z","timestamp":1577336371000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/milmed\/article\/184\/Supplement_1\/565\/5418710"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,3,1]]},"references-count":5,"journal-issue":{"issue":"Supplement_1","published-online":{"date-parts":[[2019,3,21]]},"published-print":{"date-parts":[[2019,3,1]]}},"URL":"https:\/\/doi.org\/10.1093\/milmed\/usy307","relation":{},"ISSN":["0026-4075","1930-613X"],"issn-type":[{"value":"0026-4075","type":"print"},{"value":"1930-613X","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2019,3]]},"published":{"date-parts":[[2019,3,1]]}}}