Janković S, Zuljan I, Sapunar D, Buća A, Plestina-Borjan I
Department of Radiology, Clinical Hospital Split, Croatia.
Mil Med. 1998 Jun;163(6):423-6.
The purpose of this study is to present our experience in treating 191 patients with eye and orbit injuries that occurred during the war in Croatia and Bosnia and Herzegovina.
The authors retrospectively reviewed the clinical and radiological management of wartime eye and orbit injuries in patients hospitalized at Clinical Hospital Split.
Seventy-nine percent of the war eye and orbit injuries were caused by fragments of explosive devices, 9.9% by high-velocity missiles, and 8.4% by other objects. Most of the patients were admitted to the hospital within 24 hours of injury. The total number of injured globes was 222; 48.2% of globes had intrabulbar (mostly magnetic) foreign bodies, and 13% had extrabulbar intraorbital foreign bodies. Extensive wounds (perforation, double perforation, rupture, and evisceration/ enucleation) were encountered in 74% of patients, and 26% of patients had slight trauma. There was a statistically significant correlation between admission within the first 12 hours and postoperative visual acuity (Chi 2 = 3.93; p = 0.0474).
Along with clinical examination, computed tomography is the most important diagnostic procedure in preoperative evaluation of various forms of globe and orbit injuries. The admission time is the most important factor in determining postoperative visual acuity.
本研究旨在介绍我们治疗191例在克罗地亚和波斯尼亚和黑塞哥维那战争期间发生眼及眼眶损伤患者的经验。
作者回顾性分析了斯普利特临床医院收治的战时眼及眼眶损伤患者的临床及影像学处理情况。
79%的战时眼及眼眶损伤由爆炸装置碎片所致，9.9%由高速导弹所致，8.4%由其他物体所致。大多数患者在受伤后24小时内入院。受伤眼球总数为222只；48.2%的眼球有球内（大多为磁性）异物，13%有球外眶内异物。74%的患者出现广泛伤口（穿孔、双重穿孔、破裂以及眼球摘除/眼内容剜出），26%的患者有轻度创伤。伤后12小时内入院与术后视力之间存在统计学显著相关性（卡方=3.93；p=0.0474）。
除临床检查外，计算机断层扫描是术前评估各种形式眼球及眼眶损伤最重要的诊断方法。入院时间是决定术后视力的最重要因素。
