Morris R E, Witherspoon C D, Feist R M, Byrne J B, Ottemiller D E
Am J Ophthalmol. 1987 May 15;103(5):695-700. doi: 10.1016/s0002-9394(14)74332-6.
We retrospectively studied 14 patients with bilateral ocular shotgun injury in order to determine overall visual prognosis and factors affecting individual prognosis. Although only eight of 28 eyes (29%) in this series recovered visual acuity of 20/100 or better, six of 14 patients (43%) recovered at least 20/100 and eight of 14 patients (57%) recovered visual acuity of at least 20/400. Tissue destruction in the form of severe ocular disorganization or direct injury of optic nerve or macula was the primary limiting factor to visual recovery in 16 of 20 eyes (80%) not recovering to 20/100, while retinal detachment was the limiting factor in only four of these 20 eyes (20%). While extensive ocular disorganization, direct optic nerve or macular injury, no light perception on initial examination, and multiple pellet injuries were predictive of poor outcome, retinal detachment and double perforating injury were not.
我们对14例双侧眼部猎枪伤患者进行了回顾性研究，以确定总体视觉预后及影响个体预后的因素。尽管该系列28只眼中仅有8只（29%）恢复至20/100或更好的视力，但14例患者中有6例（43%）恢复至至少20/100，14例患者中有8例（57%）恢复至至少20/400的视力。在未恢复至20/100的20只眼中，有16只（80%）的视力恢复主要受限因素是严重眼组织破坏、视神经或黄斑直接损伤，而视网膜脱离仅为这20只眼中4只（20%）的受限因素。虽然广泛的眼组织破坏、视神经或黄斑直接损伤、初次检查时无光感以及多发弹丸伤提示预后不良，但视网膜脱离和双穿孔伤并非如此。
