Patel B C, Morgan L H
Department of Anaesthesiology, Manchester Royal Eye Hospital, England.
Arch Emerg Med. 1988 Mar;5(1):21-5. doi: 10.1136/emj.5.1.21.
A review of all penetrating eye injuries treated by the Manchester Eye Hospital over four years (1 February 1982-31 January 1986) was undertaken. One hundred and ninety-six penetrating eye injuries were seen, of which 16 (8.2%) were due to road traffic accidents. Eight patients (nine eyes) were seen in the 12 months prior to the introduction of the seat-belt legislation on 1 February 1983. None of these patients was wearing a seat-belt whereas two of the eight patients (10 eyes) seen after the seat-belt legislation were. Both these patients suffered severe visual loss due to intraocular glass from shattered windscreens. Three patients had bilateral penetrating eye injuries, one before and two after the seat-belt legislation. Two of the nine eyes involved prior to the legislation and three of the 10 eyes after the legislation had an eventual visual acuity of 6/12 or better. In the majority of patients, failure to wear seat-belts or defective use is to blame. Flying glass from shattered toughened windscreens is a preventable danger. Nine of the 16 patients were first seen in the general accident and emergency department and, of these, seven did not have visual acuities recorded prior to referral to an ophthalmologist. The importance of measurement of the visual acuity and detection of an afferent pupillary defect is stressed based on these findings.
对曼彻斯特眼科医院在四年内（1982年2月1日至1986年1月31日）治疗的所有穿透性眼外伤进行了回顾。共诊治了196例穿透性眼外伤，其中16例（8.2%）由道路交通事故所致。在1983年2月1日安全带立法实施前的12个月内，共诊治了8例患者（9只眼）。这些患者均未系安全带，而在安全带立法实施后诊治的8例患者（10只眼）中有2例系了安全带。这2例患者均因挡风玻璃破碎后眼内进入玻璃而遭受严重视力丧失。3例患者为双侧穿透性眼外伤，其中1例发生在安全带立法实施前，2例发生在安全带立法实施后。在立法实施前涉及的9只眼中，有2只眼以及在立法实施后涉及的10只眼中，有3只眼最终视力达到6/12或更好。在大多数患者中，未系安全带或使用不当是罪魁祸首。钢化挡风玻璃破碎后飞溅的玻璃是一种可预防的危险因素。16例患者中有9例最初是在综合事故与急诊科就诊的，其中7例在转诊至眼科医生之前未记录视力。基于这些发现，强调了测量视力和检测传入性瞳孔障碍的重要性。
