Thach A B, Ward T P, Hollifield R D, Dugel P U, Sipperley J O, Marx J L, Abrams D A, Wroblewski K J, Sonkin P L, Birdsong R H, Dunlap W A
Ophthalmology Service, Walter Reed Army Medical Center, Washington, DC 20307, USA.
Ophthalmology. 1999 Mar;106(3):533-7. doi: 10.1016/S0161-6420(99)90112-4.
To evaluate the ocular effects of blunt trauma due to injury from a paintball pellet.
Noncomparative case series.
Thirteen patients who suffered ocular injury from paintballs are described. The patients presented to six different civilian and military emergency departments in tertiary care medical centers.
Patients were treated for the ocular injury.
Patients were evaluated for initial and final visual acuity. The reason for persistent loss of vision was delineated.
There were 12 males and 1 female with an average age of 21 years (range, 12-33 years). Eleven of the 13 had no ocular protection at the time of the ocular injury. On initial examination, nine patients had a hyphema, nine had a vitreous hemorrhage, six had a retinal tear or detachment, three had corneal or corneal-scleral ruptures, and one had traumatic optic neuropathy. The final visual acuity was 20/40 or better in two patients, 20/50 to 20/150 in three patients, and 20/200 or worse in eight patients.
Injuries due to paintball pellets can result in severe ocular damage and significant loss of vision. Eyecare professionals should be aware of the risks of this sport and must strongly advise participants to wear adequate protection when involved in this activity.
评估彩弹枪发射的弹丸造成的钝性创伤对眼部的影响。
非对照病例系列。
描述了13例因彩弹枪致眼部受伤的患者。这些患者前往三级医疗中心的6个不同的 civilian 和 military 急诊科就诊。
对患者的眼部损伤进行治疗。
评估患者的初始和最终视力。明确视力持续丧失的原因。
12名男性和1名女性，平均年龄21岁（范围12 - 33岁）。13例中有11例在眼部受伤时未佩戴眼部防护装置。初次检查时，9例患者有前房积血，9例有玻璃体积血，6例有视网膜裂孔或脱离，3例有角膜或角膜巩膜破裂，1例有外伤性视神经病变。2例患者最终视力为20/40或更好，3例患者为20/50至20/150，8例患者为20/200或更差。
彩弹枪发射的弹丸造成的损伤可导致严重的眼部损害和明显的视力丧失。眼科专业人员应意识到这项运动的风险，并且必须强烈建议参与者在参与这项活动时佩戴适当的防护装备。
