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Three-Dimensional Reconstruction of Orbital Fractures
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[Orbital firearm injuries].

C S Mayer1, S Bohnacker2, J Storr3

  • 1Univ.-Augenklinik Heidelberg, Medizinische Fakultät Heidelberg der Universität Heidelberg, Im Neuenheimer Feld 400, 69120, Heidelberg, Deutschland. christian.mayer@med.uni-heidelberg.de.

Der Ophthalmologe : Zeitschrift Der Deutschen Ophthalmologischen Gesellschaft
|August 27, 2020
PubMed
Summary
This summary is machine-generated.

Firearm injuries to the eye are rare, often involving suicide attempts and requiring complex, interdisciplinary treatment. Reconstruction is generally recommended for variable ocular injury patterns.

Keywords:
Eyeball ruptureProjectileSuicideTraumaWeapon

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Area of Science:

  • Ophthalmology
  • Trauma Surgery

Background:

  • Firearm-related ocular injuries are infrequent but present significant ophthalmological and emotional challenges.
  • Such injuries necessitate specialized medical and psychological care.

Purpose of the Study:

  • To analyze cases of orbital gunshot injuries treated at a university hospital.
  • To evaluate the circumstances, injury patterns, treatments, and outcomes of patients with orbital firearm injuries.

Main Methods:

  • Retrospective review of seven consecutive orbital gunshot injury cases over 11 years (2007-2018).
  • Evaluation included injury mechanism, projectile type, injury characteristics, imaging, treatment, and patient outcomes.
  • Data collected on patient demographics, injury background (suicide attempt vs. accident), and projectile trajectory.

Main Results:

  • Seven male patients, average age 44, experienced orbital firearm injuries, predominantly from suicide attempts (5/7).
  • Projectile types varied, including retained bullets, through-and-through trajectories, and ricochet shots; one injury involved a crossbow.
  • Visual outcomes ranged from blindness (unilateral/bilateral amaurosis) to partial vision (0.2-0.7), with no direct fatalities.

Conclusions:

  • Firearm injuries in Germany are uncommon, frequently linked to suicide, and exhibit diverse ocular damage patterns.
  • Reconstructive surgery is advised for these injuries.
  • Effective patient management requires interdisciplinary collaboration among ophthalmologists, neurosurgeons, orofacial surgeons, ENT specialists, and psychiatrists.