Evidence map›Paper›PMID 41454569›Full record

GuidelineWorld journal of surgery2026

Explosive Weapons Trauma Care Collective (EXTRACCT) Blast Injury Clinical Practice Guideline: Ocular Trauma.

Emma Butterfield, Alistair Bolt, Gerry Clare, John Mattia, Aung Maw Tin-U, Iddi Ndyabawe, Larry Schwab, Siegfried Karl Wagner, EXTRACCT Clinical Practice Guidelines Collaboration

Abstract readPractice GuidelineReview
PubMed Full text at PMC Publisher
In one paragraph

Guideline in World journal of surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Guideline
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Emma ButterfieldThe Royal London Hospital, Barts Health NHS Trust, London, UK.ORCID https://orcid.org/0000-0001-9076-6875
Alistair BoltFormerly Pharmacist, Norfolk and Norwich University Hospital, Norwich, UK.
Gerry ClareNIHR Moorfields Biomedical Research Centre, London, UK.
John MattiaLowell and Ruth Gess UMC Eye Hospital, Freetown, Sierra Leone.
Aung Maw Tin-UDepartment of Ophthalmology, St Bernard's Hospital, Hanwell, Gibraltar.
Iddi NdyabaweDepartment of Ophthalmology, Kisubi Hospital, Entebbe, Uganda.ORCID https://orcid.org/0000-0003-4623-4761
Larry SchwabSchool of Medicine, West Virginia University, Morgantown, West Virginia, USA.
Siegfried Karl WagnerNIHR Moorfields Biomedical Research Centre, London, UK.ORCID https://orcid.org/0000-0003-4915-4353
EXTRACCT Clinical Practice Guidelines Collaboration

Funding

Medical Research Council MR/T000953/1
6 · The paper itself

Abstract

introductionThis clinical practice guideline from the Explosive Weapons Trauma Care Collective (EXTRACCT) group reviews current best practice for the management of ocular trauma in conflict-affected regions, where explosive weapons are used and healthcare infrastructure is limited.

methodsAn expert literature review of current practice is presented with practical resource-adapted guidelines constructed through expert consensus from ophthalmologists, emergency care providers and allied health professionals with field experience.

resultsThe guideline provides recommendations for the assessment, classification and management of major and minor ocular injuries encountered in low-resource settings, particularly during conflict. Guidance is written for frontline healthcare workers who may be addressing such injuries in the absence of specialist ophthalmology expertise and equipment. Dosing of ophthalmic therapeutics is provided.

conclusionActionable context-appropriate strategies to manage ocular trauma caused by explosive weapons can reduce vision loss and improve patient outcomes where specialized ophthalmic care is scarce.

Indexed as

Blast InjuriesEye InjuriesHumansendophthalmitisglobe rupturehyphemakeratitislid lacerationocular trauma

Identifiers

PMID41454569
PMCPMC12904851

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.