Abstract
Relevant factors determining the management of inaccessible retained lead airgun pellets are discussed in relation to 11 orbital cases. Although the injuries were of between one month's and 26 years' standing, serum lead levels were normal at under 350 micrograms/l in all instances. This is attributable to the modern alloy composition of the ammunition in question. It is concluded that surgical intervention may be indicated only where there is a mechanical disturbance of ocular motility allied with good visual function.
Full text
PDF
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Bowen D. I., Magauran D. M. Ocular injuries caused by airgun pellets: an analysis of 105 cases. Br Med J. 1973 Feb 10;1(5849):333–337. doi: 10.1136/bmj.1.5849.333. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Cudmore R. E., Boothroyd A. When are airgun pellets better left alone? Lancet. 1985 Mar 30;1(8431):765–766. doi: 10.1016/s0140-6736(85)91316-9. [DOI] [PubMed] [Google Scholar]
- Dillman R. O., Crumb C. K., Lidsky M. J. Lead poisoning from a gunshot wound. Report of a case and review of the literature. Am J Med. 1979 Mar;66(3):509–514. doi: 10.1016/0002-9343(79)91083-0. [DOI] [PubMed] [Google Scholar]
- Horiuchi K., Horiguchi S., Utsunomiya T., Nakano H., Tsuyama Y. Laboratory studies on the lead poisoning in six cases with lead shot lodged in the tissues. Osaka City Med J. 1969;15(1):7–12. [PubMed] [Google Scholar]
- Laffers Z., Brehm H. Intraorbitale, extrabulbär gelegene Projektilverletzungen. Klin Monbl Augenheilkd. 1980 Mar;176(3):413–417. doi: 10.1055/s-2008-1057470. [DOI] [PubMed] [Google Scholar]
- Mörl F., Schmidt R., Schultka R., Franzen E., Rautschke R. Histochemische, spektralanalytische und quantitativ-chemische Bleiuntersuchungen zur Frage der Bleivergiftung nach Schrotschussverletzungen. Zentralbl Chir. 1968 Feb 10;93(6):216–230. [PubMed] [Google Scholar]
- Schmidt R., Schultka R., Franzen E. Klärung der Frage nach der Bleitoxizität handelsüblichen Schrotes durch histochemische und chemische Untersuchungen. Verh Anat Ges. 1969;63:507–513. [PubMed] [Google Scholar]
- Sevel D., Atkins A. D. Pellet gun injuries of the eye. S Afr Med J. 1978 Sep 30;54(14):566–568. [PubMed] [Google Scholar]
- VAN ROSSEM, VLAARDINGERBROEK W. M. ACUTE LOODVERGIFTIGING DOOR EEN HAGELSCHOTVERWONDING. Ned Tijdschr Geneeskd. 1965 Jun 12;109:1110–1113. [PubMed] [Google Scholar]