In what scenario should a casualty with an eye injury be evacuated to a MTF as soon as possible?

The most critical scenario that necessitates the immediate evacuation of a casualty with an eye injury to a Medical Treatment Facility (MTF) involves vision changes. This situation could indicate a serious issue such as retinal detachment, a foreign body penetration, or other significant eye injuries that could lead to permanent vision loss if not treated promptly.

It's imperative for medical personnel to understand that any alteration in vision should be taken seriously and requires urgent evaluation by a specialist. While covering the eye with a shield is an important step to prevent further injury, it is not the sole determinant for evacuation. The ultimate priority is to ensure that the casualty receives the necessary medical intervention as soon as possible, especially when vision changes are present.