Enache A, Chatzinikolaou F, Mercescu A
Department of Forensic Medicine, University of Medicine and Pharmacy, Institutul de Medicina Legala, Str. Martir Marius Ciopec nr. 3, 300737 Timisoara, Romania.
Leg Med (Tokyo). 2009 Apr;11 Suppl 1:S379-81. doi: 10.1016/j.legalmed.2009.01.019. Epub 2009 Feb 28.
The study concentrated on the analysis of patients with ocular lesions which were determined by different situations and were examined by the forensic expert.
The cases were examined during 2003-2007, including the appreciation of the gravity of violent lesions.
The results revealed that the most exposed are men with a ratio of 6:1, with an annual average of 10 cases. The main causes were aggression (84% of the cases), traffic accidents (12%), and other (4%). Most cases presented light lesions, 76%, severe lesions in 20% and very severe lesions, including total loss of sight in 4% of the cases. In the cases with severe lesions, the investigations were more thorough, the treatment highly specialized and the legal consequences were harsher. These cases required a follow-up of 6-9-12 months so that the forensic expert could evaluate the damage correctly.
Despite the fact that the majority of ocular traumas are less severe, in the ocular contusive lesions the evolution can be towards aggravation. Some cases which require a closer observation of the cases and the appreciation of the judicial consequences of the visual organ presenting severe ocular trauma.
本研究着重分析由不同情况导致且经法医鉴定的眼部损伤患者。
于2003年至2007年期间对这些病例进行检查，包括对暴力损伤严重程度的评估。
结果显示，受影响最多的是男性，男女比例为6:1，年均病例数为10例。主要原因是攻击行为（占病例的84%）、交通事故（12%）以及其他原因（4%）。大多数病例为轻度损伤，占76%，重度损伤占20%，极重度损伤（包括4%的病例完全失明）占4%。在重度损伤病例中，调查更为彻底，治疗高度专业化，法律后果也更为严厉。这些病例需要6至9至12个月的随访，以便法医能够正确评估损伤情况。
尽管大多数眼外伤不太严重，但在眼部挫伤中，病情可能会恶化。对于一些眼部遭受严重创伤的病例，需要密切观察并评估视觉器官损伤的司法后果。
