Schmidbauer J M, Hess T, Biedler A, Spang S, Hille K, Ruprecht K W
Augenklinik mit Poliklinik, Universitätskliniken des Saarlandes, 66421 Homburg, Saar.
Klin Monbl Augenheilkd. 2000 Dec;217(6):315-22. doi: 10.1055/s-2000-9568.
As a result of the terrorist bombings of the United States Embassies in Daressalam (Tansania) and Nairobi (Kenya) on August 7, 1998, over 200 people were killed. 5000 persons were injured severely. The purpose of this article is to provide a review of our experiences in the evaluation and treatment of patients with multiple simultaneous ocular injuries sustained in the Nairobi attack.
We treated eight survivors of the assault, four of them with extremely severe eye injuries. A three-tiered system of triage developed. The first level occurred on scene, in which minor injuries were treated locally and more severe injuries were transported by aeromedical evacuation to Landstuhl Regional Medical Center (LMRC), in Germany among other locations. Surgical exploration of all patients arriving at LRMC was performed and surgical repair was undertaken when appropriate and technically possible. Patients requiring vitreoretinal surgery were transferred either to Saarland University Eye Hospital, Homburg, Germany, or Walter Reed Army Medical Center, Washington, DC.
Only one eye required enucleation, due to an almost complete extrusion of the retina. It was possible to stabilize even severely injured eyes with multiple intraocular foreign bodies.
Modern microsurgical techniques such as temporary keratoprothesis, perforating keratoplasty, and pars plana vitrectomy can now save eyes and often allow restoration of usuable visual acuity where this once have been deemed impossible.
1998年8月7日，美国驻达累斯萨拉姆（坦桑尼亚）和内罗毕（肯尼亚）大使馆遭受恐怖炸弹袭击，造成200多人死亡，5000人严重受伤。本文旨在回顾我们对在内罗毕袭击中同时遭受多处眼部损伤患者的评估和治疗经验。
我们治疗了8名袭击幸存者，其中4人眼部伤势极其严重。制定了一个三级分诊系统。第一级在现场进行，轻伤在当地治疗，重伤通过空中医疗后送至德国兰施图尔地区医疗中心（LMRC）等其他地点。对所有抵达LRMC的患者进行手术探查，并在适当且技术可行时进行手术修复。需要玻璃体视网膜手术的患者被转移至德国洪堡的萨尔兰大学眼科医院或华盛顿特区的沃尔特里德陆军医疗中心。
仅一只眼睛因视网膜几乎完全脱出而需要摘除眼球。即使是有多个眼内异物的重伤眼也有可能实现病情稳定。
现代显微外科技术，如临时角膜假体植入术、穿透性角膜移植术和平坦部玻璃体切除术，现在能够挽救眼睛，并且常常能在曾经被认为不可能的情况下恢复可用视力。
