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2 and 0.7 in the other 4 cases. No patient died as a direct consequence of the firearm injury. Injuries caused by firearms are relatively rare in Germany and mostly have asuicidal background. The pattern of the injury of the ocular structures is very variable. Areconstruction attempt is principally recommended. In the care of patients interdisciplinary cooperation between ophthalmologists and neurosurgeons, orofacial surgeons, ear nose and throat (ENT) surgeons and psychiatrists is necessary. Injuries caused by firearms are relatively r