{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,10]],"date-time":"2026-03-10T22:00:57Z","timestamp":1773180057980,"version":"3.50.1"},"reference-count":23,"publisher":"Springer Science and Business Media LLC","issue":"5","license":[{"start":{"date-parts":[[2020,8,26]],"date-time":"2020-08-26T00:00:00Z","timestamp":1598400000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2020,8,26]],"date-time":"2020-08-26T00:00:00Z","timestamp":1598400000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"name":"Medizinische Fakult\u00e4t Heidelberg der Universit\u00e4t Heidelberg"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Ophthalmologe"],"published-print":{"date-parts":[[2021,5]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:sec>\n                <jats:title>Hintergrund<\/jats:title>\n                <jats:p>Schussverletzungen kommen im Bereich der Ophthalmologie gl\u00fccklicherweise selten vor. Die Behandlung eines betroffenen Patienten ist sowohl ophthalmologisch als auch emotional eine besondere Herausforderung.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methodik<\/jats:title>\n                <jats:p>Wir berichten \u00fcber 7 konsekutive F\u00e4lle von Patienten mit einer orbitalen Schussverletzung, die \u00fcber einen Zeitraum von 11\u00a0Jahren in einem Universit\u00e4tsklinikum vorstellig wurden. Ausgewertet wurden der Schadenshergang mit beteiligter Waffe, die Schussart, das Verletzungsmuster, die kraniale Bildgebung, die Therapie und der Verlauf.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Ergebnisse<\/jats:title>\n                <jats:p>Insgesamt konnten 7\u00a0F\u00e4lle von Schussverletzungen durch Waffen im Zeitraum von 2007 bis 2018 dokumentiert und ausgewertet werden. Alle 7\u00a0Patienten waren m\u00e4nnlich. Das Alter betrug im Mittel 44\u202f\u00b1\u200927,5 Jahre. F\u00fcnfmal kam es durch einen Suizidversuch zu den Verletzungen, zweimal durch einen Unfall. Bis auf eine Schussverletzung mit einer Armbrust wurden Feuerwaffen verwendet. Viermal kam es dabei zu einem Steckschuss, zweimal zu einem Durchschuss und einmal zu einem Prellschuss. Der Endvisus lag bei den betroffenen Augen einmal bei einer einseitigen und ein weiteres Mal bei einer beidseitigen Amaurose, bei einem Patienten bei 1\/35 MTV und bei 4\u00a0Patienten zwischen 0,2 und 0,7. Kein Patient ist an den unmittelbaren Folgen der Schussverletzung gestorben.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Diskussion<\/jats:title>\n                <jats:p>Schussverletzungen sind in Deutschland selten und haben meist einen suizidalen Hintergrund. Das Verletzungsmuster im Bereich der okul\u00e4ren Strukturen ist sehr variabel. Ein Rekonstruktionsversuch lohnt sich prinzipiell immer. Bei der Versorgung der Patienten ist eine interdisziplin\u00e4re Zusammenarbeit von Ophthalmologen und Neuro- und MKG- bzw. HNO-Chirurgen sowie Psychiatern notwendig.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00347-020-01195-2","type":"journal-article","created":{"date-parts":[[2020,8,26]],"date-time":"2020-08-26T13:02:37Z","timestamp":1598446957000},"page":"476-485","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Orbitale Schussverletzungen","Orbital firearm injuries"],"prefix":"10.1007","volume":"118","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6670-2107","authenticated-orcid":false,"given":"C. 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