mor a JBJECTIVE: he an SECRER™ aooopastasee ( SUBJECT : Fol. [thermal Effects on the Eye A. To determine to what degree the flash of a nuclear detonation impairs the vision and reduces the efficiency of military personnel during daylight and night operationss B. To evaluate protective devices developed for the purpose of protecting the eye against visual impairment resulting from excessive exposure to light. TEST PROCEDURE: Utilizing human volunteers and animals,a number of observa-~ tions have been made, Human volunteers were exposed during both daylight and nighttime operations and then studies made of their visual acuity. In addition, a theoretical and practical laboratory approach was initiated in 1951 and is being continued at the U.S.A.F.e School of Aviation Medicine, STATUS OF KNOWLEDGE: Subjective and objective examination of the Japanese survivors of Hiroshima and Nagasaki demonstrated surprisingly little evidence of thermal injury to the eyes, In one group of a thousand persons within two thousand yards of ground zero no lesions of the fundus were found which could be attri-~ buted to the thermal effects of the bomb, Even the eye lids (when the patient has sustained severe facial burn) showed only occasional injury. A history of temporary (a few minutes) blindness was elicited from a few patients and an occasional individual stated he was blind for a matter of days. In this latter case it was the opinion of the attending medical personnel that hysteria might be responsible, For discussion purposes, thermal eye injury is divided into three categories | 1. Temporary (flash) blindness: Evaluation of human volunteers (air crews) at BUSTER established no visual in- pairment under daylight conditions where other hazards (heat, blast and radiation) were not encountered. Under simulated nighttime conditions at TUMBLER-SNAPPER and UPSHOT-KNOTHOLE, there was definite temporary flash blindness in unprotected individuals, Individuals must be focused so that the detonation is in the direct forward field of visions Even under nighttime conditions, there is no impairment of vision unless the fire- bali is in the forward field of vision, 2. Retinal Injury: Four instances of retinal burns in humans. have been encountered. Three of these occured wder complete dark adaptations at Operation SNAPPER and one occurred under predawn (30 minutes) lighting conditions at Operation OEtas In two of the above a permanent

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