与恐怖主义相关的开放性眼球损伤：十年回顾
Terror-related open-globe injuries: a 10-year review.
作者信息
Sobaci Güngör, Akýn Tŭorul, Mutlu F Mehmet, Karagül Suat, Bayraktar Mehmet Z
机构信息
Ophthalmology Department, GATA Gülhane Military Medical Academy and Medical School, 06018 Etlik, Ankara, Turkey.
出版信息
Am J Ophthalmol. 2005 May;139(5):937-9. doi: 10.1016/j.ajo.2004.11.009.
PURPOSE
To describe mechanisms and injury characteristics influencing visual outcomes in eyes with open-globe injuries sustained in terrorist acts.
DESIGN
Retrospective, interventional case series.
METHODS
The charts of 260 consecutive patients (285 eyes) who had open-globe injury caused by terrorist attack and admitted to the tertiary referral center for military in Turkey between March 1991 and April 2001 were reviewed, and 50 patients (56 eyes) with complete data were evaluated for predicting visual outcome according to the Ocular Trauma Classification System (OTCS).
RESULTS
The mean age of patients was 22.6 years, and the mean follow-up was 5.8 months. Seventeen patients (6.54%) had traumatic amputation in the extremities. Forty-eight eyes (16.84%) were enucleated. Type A, grade V, zone III, and RAPD-positive injuries were associated with unfavorable visual outcome. Land mine and hand grenade injuries had the worst outcome.
CONCLUSIONS
In terror-related open-globe injuries, unusual presentations and devastating visual results are common, and OTCS seems to predict visual outcomes.
目的
描述恐怖袭击导致的开放性眼球损伤患者影响视力预后的机制和损伤特征。
设计
回顾性、干预性病例系列研究。
方法
回顾了1991年3月至2001年4月间因恐怖袭击导致开放性眼球损伤并入住土耳其三级军事转诊中心的260例连续患者（285只眼）的病历，根据眼外伤分类系统（OTCS）对50例（56只眼）有完整数据的患者进行视力预后预测评估。
结果
患者的平均年龄为22.6岁，平均随访时间为5.8个月。17例患者（6.54%）有肢体创伤性截肢。48只眼（16.84%）被摘除眼球。A型、V级、III区和相对性传入性瞳孔障碍（RAPD）阳性损伤与不良视力预后相关。地雷和手榴弹伤的预后最差。
结论
在与恐怖活动相关的开放性眼球损伤中，异常表现和严重的视力损害很常见，OTCS似乎可以预测视力预后。
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