Stanford Health Care, Byers Eye Institute at Stanford, Palo Alto, California, USA.
Department of Ophthalmology and Visual Science, Yale School of Medicine, New Haven, Connecticut, USA.
Surv Ophthalmol. 2020 Jan-Feb;65(1):67-78. doi: 10.1016/j.survophthal.2019.06.003. Epub 2019 Jun 20.
Gun-related eye injuries are relatively common in the context of gunshot wounds to the head and neck. Many of the fundamental principles of gunshot wound management apply to the care of these patients, but the complex anatomy and functional relationships of the periocular region do pose special challenges. We provide a focused primer for physicians seeking a more in-depth understanding of gun-related eye injuries and present 3 representative cases outlining the spectrum of pathology, provide a focused review of the relevant ballistics concepts, and discuss the management of injuries to the periocular soft tissues, orbital structures, and globe. We found that good cosmetic and functional results can often be achieved with appropriate early intervention, but visual prognosis may remain guarded despite optimal treatment.
与枪支相关的眼部损伤在头部和颈部的枪伤中较为常见。许多与枪伤处理相关的基本原则同样适用于这些患者的治疗，但眼部周围区域复杂的解剖结构和功能关系确实带来了特殊的挑战。我们为希望更深入了解与枪支相关的眼部损伤的医生提供了一个重点介绍，并提供了 3 个代表性病例，概述了病理谱，对相关弹道学概念进行了重点回顾，并讨论了眼部软组织、眼眶结构和眼球损伤的处理。我们发现，通过适当的早期干预，通常可以获得良好的美容和功能效果，但即使进行了最佳治疗，视力预后仍可能不容乐观。
