Cruysberg J R, Pinckers A, Castelijns H E, Verbeek A M, Deutman A F
Institute of Ophthalmology, University Hospital Nijmegen, The Netherlands.
Acta Ophthalmol Scand. 1995 Dec;73(6):571-3. doi: 10.1111/j.1600-0420.1995.tb00341.x.
To determine the necessary medical care and permanent ocular damage of a particular type of preventable ocular trauma, an observational study of 22 patients referred to the University Hospital Nijmegen (1983-1993) with eye injuries caused by the accidental release of tightened elastic straps of the so-called "spider' design was performed. Although the traumatized eyes of the 22 patients could be saved from blindness by extensive medical and surgical treatment in the majority of cases, 13 patients (59%) had residual permanent visual impairment (visual acuity < or =6/10, or aphakia) at the end of the follow-up period. Three of them had lost the perception of light in the involved eye; one painful blind eye had to be removed. It is concluded that elastic straps with free-end metal hooks should not be used to secure luggage because of the potential risk of irreversible damage to the eye.
为了确定某一特定类型可预防眼外伤所需的医疗护理及永久性眼损伤情况,我们对1983年至1993年间转诊至奈梅亨大学医院的22例患者进行了一项观察性研究,这些患者眼部受伤是由于所谓“蜘蛛”设计的拉紧弹性带意外松开所致。尽管在大多数情况下,通过广泛的药物和手术治疗,这22例患者受伤的眼睛得以避免失明,但在随访期结束时,13例患者(59%)仍有永久性视力损害(视力≤6/10或无晶状体)残留。其中3例患者患眼已无光感;1只疼痛的盲眼不得不摘除。结论是,带有自由端金属钩的弹性带不应被用于固定行李,因为存在对眼睛造成不可逆转损伤的潜在风险。