Eye Research Center, Farabi Eye Hospital, Tehran University of Medical Sciences (TUMS), Tehran, Iran.
Injury. 2011 May;42(5):492-5. doi: 10.1016/j.injury.2010.11.006.
To describe the clinical presentations and treatment modalities of a series of BB gun-related perforating ocular injuries.
Clinical records of all consecutive cases of perforating BB gun injuries to the globe seen between September 2004 and September 2008 were reviewed retrospectively. At the time of the trauma and after final treatment, all patients underwent a complete ocular examination, including visual acuity,applanation tonometry for intraocular pressure, slit lamp biomicroscopy, indirect ophthalmoscopy and fundus photography, if possible. In all cases, primary globe repair was performed in the first session, and then appropriate surgery took place based on the individual situation.
In this study, 13 patients (11 males and 2 females) with a mean age of 20.8 years (range 9–50 years) were enrolled. The mean follow-up period was 7.2 4.3 months (range 1–25 months). Initial visual acuity (VA) ranged from no-light perception (NLP) to finger counting (CF). Vitreous haemorrhage and retinal detachment were present in all involved eyes. Hyphema (30.76%), uveal and retinal prolapse (30.8%), retinalin carceration (30.8%) and retinal haemorrhage (53.8%) were other ocular findings. VA remained stable in 46.2% of the patients (6 cases). The best achieved final VA was CF at 2 min one case after 6 months follow-up.After several surgical procedures, enucleation was necessary in only 2/13 (15.4%) cases.
Despite several surgical procedures which decreased the number of enucleations, BB gunperforating ocular injuries still lead to a grim visual outcome. This implies the importance of political strategies targeting on education of parents and restriction for children to access to these guns.
描述一系列 BB 枪致眼球穿通伤的临床特征和治疗方法。
回顾性分析 2004 年 9 月至 2008 年 9 月间连续收治的所有 BB 枪致眼球穿通伤患者的临床资料。所有患者在受伤时及最终治疗后均接受了全面的眼部检查，包括视力、眼压眼压测量、裂隙灯显微镜检查、间接检眼镜检查和眼底照相（如果可能的话）。所有患者均在初次就诊时行一期眼球修复，然后根据个体情况行适当的手术。
本研究共纳入 13 例（男 11 例，女 2 例）患者，平均年龄 20.8 岁（950 岁）。平均随访时间为 7.2±4.3 个月（125 个月）。初始视力（VA）从无光感（NLP）到手动（CF）。所有受累眼均有玻璃体积血和视网膜脱离。眼内积血（30.76%）、葡萄膜和视网膜脱出（30.8%）、视网膜嵌顿（30.8%）和视网膜出血（53.8%）是其他眼部表现。46.2%（6 例）患者 VA 稳定。最佳最终 VA 为 CF，1 例患者在 6 个月随访后达到，视力为 CF。经过多次手术，仅 2/13（15.4%）例患者需要眼球摘除。
尽管进行了多次手术以减少眼球摘除的数量，但 BB 枪致眼球穿通伤仍导致预后较差的视力结果。这意味着需要采取政治策略，对家长进行教育，并限制儿童接触这些枪支。
