主管：中华人民共和国司法部
主办：司法鉴定科学研究院
ISSN 1671-2072  CN 31-1863/N
中国司法鉴定

中国司法鉴定 ›› 2023 ›› Issue (5): 52-56.DOI: 10.3969/j.issn.1671-2072.2023.05.007

• 鉴定科学 • 上一篇    下一篇

眼损伤后伪装、夸大视力下降39例法医临床鉴定分析

周智露1，2，陈捷敏2，刘瑞珏2，等   

  1. 1.贵州医科大学 法医学院，贵州 贵阳 550009； 2.司法鉴定科学研究院 上海市法医学重点实验室 上海市司法鉴定专业技术服务平台 司法部司法鉴定重点实验室，上海 200063； 3.佳木斯大学 基础医学院，黑龙江 佳木斯 154007
  • 收稿日期:2022-05-30 出版日期:2023-09-15 发布日期:2023-09-16
  • 通讯作者: 陈捷敏（1984—），女，副研究员，博士，主要从事法医临床学鉴定。E-mail:chenjm@sfjd.cn 刘瑞珏（1970—），女，主任法医师，硕士，主要从事法医临床学鉴定。E-mail:liurj@sfjd.cn
  • 作者简介:周智露（1996—），女，硕士研究生，主要从事法医临床学鉴定。E-mail:zhouzhilu96@163.com
  • 基金资助:
    上海市法医学重点实验室资助项目（21DZ2270800）；上海市司法鉴定专业技术服务平台资助项目。

Forensic Analysis of 39 Cases That Exaggerated or Camouflage Vision Decrease after Eye Injury

ZHOU Zhilu1,2, CHEN Jiemin2, LIU Ruijue2, et al   

  1. 1. Department of Forensic Medicine, Guizhou Medical University, Guiyang 550009, China; 2. Shanghai Key Laboratory of Forensic Medicine, Shanghai Forensic Service Platform, Key Laboratory of Forensic Science, Ministry of Justice, Academy of Forensic Science, Shanghai 200063, China; 3. Basic Medical College, Jiamusi University, Jiamusi 154007, China
  • Received:2022-05-30 Published:2023-09-15 Online:2023-09-16

PDF

摘要： 目的 探讨眼损伤法医临床鉴定过程中伪装、夸大视力下降案件的特点，以及鉴定实践中的注意事项。方法 收集司法鉴定科学研究院在2019—2022年期间受理并最终认定存在伪装、夸大视力下降情形的眼损伤鉴定案例，统计分析案件的性质及其一般情况、致伤物及损伤类型、视力表视力及眼部检查情况。结果 39例中11例系伪装双眼视力障碍，损伤类型多为眼附属器损伤，损伤方式多为拳击伤，伪装或者夸大视力下降范围在0.05~0.4之间。结论 在眼损伤鉴定实践中，不能仅依靠病历记录的诊断以及被鉴定人的主诉视力进行鉴定，视力下降的认定需明确结构损伤的程度，切不可因为存在眼部器质性的损害即认为视力下降与外伤之间存在因果关系。

关键词: 法医临床学, 司法鉴定, 伪装视力下降, 眼损伤

Abstract: Objective To investigate the characteristics of cases which exaggerated or disguised vision decrease during forensic medical appraisal after eye injury, summarizing the matters for attention in forensic medical appraisal practice. Methods Cases being identified as exaggerated or disguised vision decrease, from 2019 to 2022, were collected. The nature of the cases, general condition, injury objects, injury types, visual chart vision and examination results were analyzed statistically. Results 11 cases out of 39 cases had disguised binocular vision disorder. The type of injury was mostly eye adnexal injury, and the mode of injury was mostly boxing injury. The range of impaired visual acuity in disguise was between 0.05 and 0.4. Conclusion In the practice of eye injury assessment, the expert opinions can not only rely on the diagnosis of medical records and the self-reported visual acuity of the patients. It is necessary to take the degree of eye injury into consideration, and analyze objectively the correlation between visual impairment and trauma.

Key words: forensic clinical medicine, forensic appraisal, disguised visual decrease, eye injury

中图分类号: