TY  - JOUR
PY  - 2009//
TI  - Characteristics of Pellet Injuries to the Orbit
JO  - Ophthalmologica
A1  - Kükner, A. Sahap
A1  - Yilmaz, Turgut
A1  - Celebi, Serdal
A1  - Karslioğlu, Safak
A1  - Alagöz, Gursoy
A1  - Serin, Didem
A1  - Acar, M. Akif
A1  - Ozveren, M. Faik
SP  - 390
EP  - 395
VL  - 223
IS  - 6
N2  - 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.<p />  <p>Language: en</p>
LA  - en
SN  - 0030-3755
UR  - http://dx.doi.org/10.1159/000228715
ID  - ref1
ER  -