{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,3]],"date-time":"2026-08-03T14:03:41Z","timestamp":1785765821786,"version":"3.56.0"},"reference-count":30,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2014,9,13]],"date-time":"2014-09-13T00:00:00Z","timestamp":1410566400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000182","name":"Medical Research and Materiel Command, U.S. Army Medical Department","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000182","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Exper Ophthalmology"],"published-print":{"date-parts":[[2015,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>The incidence of blast\u2010induced ocular injury has dramatically increased due to advances in weaponry and military tactics. A single exposure to blast overpressure (<jats:styled-content style=\"fixed-case\">BOP<\/jats:styled-content>) has been shown to cause damage to the eye in animal models; however, on the battlefield, military personnel are exposed to <jats:styled-content style=\"fixed-case\">BOP<\/jats:styled-content> multiple times. The effects of repeated exposures to <jats:styled-content style=\"fixed-case\">BOP<\/jats:styled-content> on ocular tissues have not been investigated. The purpose of this study is to characterize the effects of single or repeated exposure on ocular tissues.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A compressed air shock tube was used to deliver 70\u2009\u00b1\u20097\u2009KPa <jats:styled-content style=\"fixed-case\">BOP<\/jats:styled-content> to rats, once (single blast overpressure [<jats:styled-content style=\"fixed-case\">SBOP<\/jats:styled-content>]) or once daily for 5 days (repeated blast overpressure [<jats:styled-content style=\"fixed-case\">RBOP<\/jats:styled-content>]). Immunohistochemistry was performed to characterize the pathophysiology of ocular injuries induced by <jats:styled-content style=\"fixed-case\">SBOP<\/jats:styled-content> and <jats:styled-content style=\"fixed-case\">RBOP<\/jats:styled-content>. Apoptosis was determined by quantification activated caspase 3. Gliosis was examined by detection of glial fibrillary acidic protein (<jats:styled-content style=\"fixed-case\">GFAP<\/jats:styled-content>). Inflammation was examined by detection of <jats:styled-content style=\"fixed-case\">CD<\/jats:styled-content>68.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Activated caspase 3 was detected in ocular tissues from all animals subjected to <jats:styled-content style=\"fixed-case\">BOP<\/jats:styled-content>, while those exposed to <jats:styled-content style=\"fixed-case\">RBOP<\/jats:styled-content> had more activated caspase 3 in the optic nerve than those exposed to <jats:styled-content style=\"fixed-case\">SBOP<\/jats:styled-content>. <jats:styled-content style=\"fixed-case\">GFAP<\/jats:styled-content> was detected in the retinas from all animals subjected to <jats:styled-content style=\"fixed-case\">BOP<\/jats:styled-content>. <jats:styled-content style=\"fixed-case\">CD<\/jats:styled-content>68 was detected in optic nerves from all animals exposed to <jats:styled-content style=\"fixed-case\">BOP<\/jats:styled-content>.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p><jats:styled-content style=\"fixed-case\">SBOP<\/jats:styled-content> and <jats:styled-content style=\"fixed-case\">RBOP<\/jats:styled-content> induced retinal damage. <jats:styled-content style=\"fixed-case\">RBOP<\/jats:styled-content> caused more apoptosis in the optic nerve than <jats:styled-content style=\"fixed-case\">SBOP<\/jats:styled-content>, suggesting that <jats:styled-content style=\"fixed-case\">RBOP<\/jats:styled-content> causes more severe optic neuropathy than <jats:styled-content style=\"fixed-case\">SBOP<\/jats:styled-content>. <jats:styled-content style=\"fixed-case\">SBOP<\/jats:styled-content> and <jats:styled-content style=\"fixed-case\">RBOP<\/jats:styled-content> caused gliosis in the retina and increased inflammation in the optic nerve.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ceo.12407","type":"journal-article","created":{"date-parts":[[2014,8,12]],"date-time":"2014-08-12T02:13:32Z","timestamp":1407809612000},"page":"239-246","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":40,"title":["Pathophysiology of blast\u2010induced ocular trauma in rats after repeated exposure to low\u2010level blast overpressure"],"prefix":"10.1111","volume":"43","author":[{"given":"Jae Hyek","family":"Choi","sequence":"first","affiliation":[{"name":"Ocular Trauma Task Area U.S. Army Institute of Surgical Research  JBSA Fort Sam Houston Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Whitney A","family":"Greene","sequence":"additional","affiliation":[{"name":"Ocular Trauma Task Area U.S. Army Institute of Surgical Research  JBSA Fort Sam Houston Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anthony J","family":"Johnson","sequence":"additional","affiliation":[{"name":"Ocular Trauma Task Area U.S. Army Institute of Surgical Research  JBSA Fort Sam Houston Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mikulas","family":"Chavko","sequence":"additional","affiliation":[{"name":"NeuroTrauma Department Naval Medical Research Center  Silver Spring Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeffery M","family":"Cleland","sequence":"additional","affiliation":[{"name":"Ocular Trauma Task Area U.S. Army Institute of Surgical Research  JBSA Fort Sam Houston Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Richard M","family":"McCarron","sequence":"additional","affiliation":[{"name":"NeuroTrauma Department Naval Medical Research Center  Silver Spring Maryland 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