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Forensic Identification of Traumatic Vitreous Hemorrhage
WANG Yuanxing
2020(5):
33-37.
DOI: 10.3969/j.issn.1671-2072.2020.05.005
Objective To investigate the characteristics of traumatic vitreous hemorrhage and the key points of forensic science. Methods From June 2013 to June 2018, 76 cases (76 eyes) of vitreous hemorrhage with a clear history of ocular trauma in a provincial ophthalmic hospital were retrospectively studied. All cases underwent detailed routine visual acuity, diopter, slit lamp, intraocular pressure, B-mode ultrasonography, VEP, ERG, color fundus photography, OCT, visual field, FFA, UBM, and ocular CT (or MRI) and other eye examinations. Results The amount of vitreous hemorrhage was divided into four grades according to the degree of vitreous turbidity. The amount of vitreous hemorrhage was divided into a small amount, a medium amount and a large amount of hemorrhage on B-mode ultrasonography images. Hemorrhage could be absorbed by itself. The amount of hemorrhage and complications directly affected the prognosis of visual acuity. Visual acuity decline was likely to improve. The degree of injury to a minor two, minor one, injured two. Conclusion Traumatic vitreous hemorrhage has certain characteristics. The visual acuity deterioration caused by vitreous hemorrhage can affect the identification conclusion. The identification time is 3-6 months and can be extended to 6 months according to the specific condition of the injury. Eye B-mode ultrasound diagnosis is an important means of examination.
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