Characteristics of pellet injuries to the orbit.

Ophthalmologica

Department of Ophthalmology, Izzet Baysal Medical Faculty, Golkoy, Turkey.

Published: January 2010

AI Article Synopsis

  • The study examines the characteristics and outcomes of orbital injuries caused by front-fired pellets in 4 patients over an 8-year period.
  • It found that even with an intact eye, significant vision loss was common due to optic nerve damage, with many cases resulting in no light perception.
  • The research concluded that the prognosis for such injuries is quite poor, as pellets can cause severe complications, including double perforation of the eye and damage to the optic nerve, with surgical interventions often resulting in minimal improvement.

Article Abstract

Purpose: To investigate the features of orbital injuries by pellets fired from the front.

Design: Retrospective, 4 cases of pellet injuries.

Methods: Five orbits of 4 patients who sustained pellet injuries received from the front were reviewed retrospectively. The course of injury and results were assessed. Radiological examinations were reviewed. The patients were evaluated between December 1996 and June 2004.

Results: Five orbits of 4 patients sustained injuries caused by pellets fired from an anterior direction. The globe in the injured orbit was intact in 2 cases. Severe loss of vision was also present in these 2 globes due to optic nerve involvement. Final visual acuity was down to no light perception in 4 eyes and limited to light perception in 1 eye.

Conclusions: The prognosis of orbital pellet injuries is, unfortunately, poor. A pellet passing through the floor of the orbit often causes double perforation of the globe and, once in the orbital aperture, it travels towards the apex as a result of the conical shape of the orbit and lodges in the optic canal or its entrance, severely damaging the optic nerve. Surgery or other treatments are usually unsuccessful. Even if the globe is intact, vision is usually severely impaired.

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Source
http://dx.doi.org/10.1159/000228715DOI Listing

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