Lavy T, Asleh S Abu
St John Eye Hospital, PO Box 19960, Jerusalem 91198, Israel.
Eye (Lond). 2003 Oct;17(7):821-4. doi: 10.1038/sj.eye.6700447.
To report the type and severity of ocular and orbital injuries caused by rubber bullets.
A total of 42 consecutive patients seen over a 3-month period with ocular and orbital rubber bullet injuries were assessed clinically and radiographically within 1 day of injury, and the findings were recorded. Clinical outcomes following treatment were also recorded up to 6 months postinjury.
A total of 90% of the patients were male. The mean age of patients was 25.0 years (4-60). Of the patients, 54% had lid or skin lacerations, 40% hyphaema, 38% ruptured globe, 33% orbital fracture, 26% retinal damage, and 21% retained rubber bullet in or around the orbit. At follow-up, 53% of the patients had a visual acuity of less than 6/60, 7% less than 6/18 to 6/60, and 40% 6/18 or better.
The term 'rubber bullet' is misleading. 'Rubber bullets' cause a wide variety of ocular and periocular injuries. Orbital fractures are common. The tissues of the orbit are easily penetrated. If the globe is hit, it is rarely salvageable.
报告橡皮子弹所致眼及眼眶损伤的类型和严重程度。
对连续3个月内接诊的42例眼及眼眶橡皮子弹伤患者在受伤1天内进行临床和影像学评估，并记录结果。还记录了受伤后6个月内的治疗临床结局。
90%的患者为男性。患者平均年龄25.0岁（4至60岁）。其中，54%有眼睑或皮肤裂伤，40%有前房积血，38%有眼球破裂，33%有眼眶骨折，26%有视网膜损伤，21%眼眶内或眼眶周围有橡皮子弹残留。随访时，53%的患者视力低于6/60，7%的患者视力在6/18至6/60之间，40%的患者视力为6/18或更好。
“橡皮子弹”这一术语具有误导性。“橡皮子弹”可导致多种眼及眼周损伤。眼眶骨折很常见。眼眶组织容易被穿透。如果眼球被击中，很少能挽救。
