Gundorova R A, Stepanov A V, Kvasha O I, Poliakova L Ia, Petriashvili G G
Vestn Oftalmol. 1994 Jul-Sep;110(3):7-10.
The authors analyze clinical features of injuries to the organ of vision under extreme conditions of a local war conflict and present their recommendations on rehabilitation of the victims. The status of 203 patients with eyeball wounds inflicted under such conditions is analyzed. To optimize the outcomes of war traumas to the eye inflicted in peace time the authors give the following recommendations based on the specific features of such injuries and the objective conditions in foci of regional conflicts: (1) Rapid evacuation of wounded subjects to the nearest ophthalmological institutions; (2) Maximally early primary ophthalmological care with obligatory primary surgical debridement of the wound; (3) No attempts at removal of a foreign body during primary surgical debridement at local medical institutions; (4) the earliest possible evacuation of the victims after wound debridement to specialized ophthalmo-traumatological institutions for further rehabilitation.
作者分析了局部战争冲突极端条件下眼部损伤的临床特征，并提出了对受害者康复的建议。分析了在这种条件下造成眼球受伤的203例患者的状况。为优化和平时期眼部战争创伤的治疗效果，作者根据此类损伤的特点和地区冲突地区的客观条件提出以下建议：（1）将伤员迅速后送至最近的眼科机构；（2）尽早进行眼科初级护理，并对伤口进行必要的一期外科清创；（3）当地医疗机构在一期外科清创时不尝试取出异物；（4）伤口清创后尽早将受害者后送至专门的眼科创伤治疗机构进行进一步康复治疗。
