Grant W F, Swan K G
J Trauma. 1980 Sep;20(9):809-11. doi: 10.1097/00005373-198009000-00019.
Isolated gunshot wounds of the orbital contents are relatively rare, and therefore their management deserves updating in terms of current practices. Two cases of isolated gunshot wounds to the orbital contents are presented, and the diagnosis, management, and prognosis are reviewed. In general, in the absence of light perception, enucleation within a planned timetable is the treatment of choice to prevent sympathetic ophthalmia from destroying sight in the uninjured eye. If light perception is present, every attempt should be made to preserve the injured eye. Enucleation of a blind injured eye is the treatment of choice because it is a more complete eradication of the potential for sympathetic ophthalmia. In selected cases, evisceration can be successfully substituted.
眼眶内容物孤立性枪伤相对少见，因此其治疗方法值得根据当前实践进行更新。本文报告了2例眼眶内容物孤立性枪伤病例，并对其诊断、治疗及预后进行了回顾。一般来说，在无光感的情况下，按计划时间表进行眼球摘除术是预防交感性眼炎损害未受伤眼视力的首选治疗方法。如果存在光感，则应尽一切努力保留受伤的眼睛。摘除失明的受伤眼是首选治疗方法，因为它能更彻底地消除交感性眼炎的可能性。在某些特定病例中，眼内容剜出术可成功替代眼球摘除术。
