Objective: The purpose of this study is to present our experience in t
reating 191 patients with eye and orbit injuries that occurred during
the war in Croatia and Bosnia and Herzegovina, Methods: The authors re
trospectively reviewed the clinical and radiological management of war
time eye and orbit injuries in patients hospitalized at Clinical Hospi
tal Split. Results: Seventy-nine percent of the war eye and orbit inju
ries were caused by fragments of explosive devices, 9.9% by high veloc
ity missiles, and 8.4% by other objects. Most of the patients were adm
itted to the hospital within 24 hours of injury. The total number of i
njured globes was 222; 48.2% of globes had intrabulbar (mostly magneti
c) foreign bodies, and 13% had extrabulbar intraorbital foreign bodies
. Extensive wounds (perforation, double perforation, rupture, and evis
ceration/ enucleation) were encountered in 74% of patients, and 26% of
patients had slight trauma. There was a statistically significant cor
relation between admission within the first 12 hours and postoperative
visual acuity (chi(2) = 3.93; P = 0.0474), Conclusion: Along with cli
nical examination, computed tomography is the most important diagnosti
c procedure in preoperative evaluation of various forms of globe and o
rbit injuries. The admission time is the most Important factor in dete
rmining postoperative visual acuity.