Runyan T E
Surg Clin North Am. 1982 Apr;62(2):301-8. doi: 10.1016/s0039-6109(16)42689-7.
Certain eye signs are of critical importance with respect to determining the ocular status of a traumatized patient. Evidence of a penetrating injury to the eye dictates prompt and appropriate management in order to insure the best possible prognosis for useful vision. In such injuries, the presence of intraocular foreign bodies must be ruled out and skull radiographs are essential. Concussive or blunt injuries involving the orbit and globe can produce varying degrees and types of damage, and expeditious evaluation is advised. Protection of a globe that has been, or is suspected of being, ruptured or seriously injured by a protective pad and shield may mean the difference between the traumatized patient retaining useful vision or sustaining a permanent visual handicap. Prompt recognition of eye signs that signal the necessity for specialized ophthalmic medical or surgical management may be of inestimable value in preserving the sight of a severely injured patient.
某些眼部体征对于确定眼部受伤患者的眼部状况至关重要。眼部穿透伤的迹象表明需要立即进行恰当处理，以确保获得最佳的视力预后。对于此类损伤，必须排除眼内异物的存在，颅骨X线片至关重要。涉及眼眶和眼球的震荡伤或钝挫伤可造成不同程度和类型的损害，建议尽快进行评估。用保护垫和眼罩保护已破裂或疑似破裂或严重受伤的眼球，可能意味着受伤患者能否保留有用视力或造成永久性视力障碍。迅速识别表明需要专业眼科医疗或手术处理的眼部体征，对于挽救重伤患者的视力可能具有不可估量的价值。
