Nemet Arie Y, Asalee Leena, Lang Yaron, Briscoe Daniel, Assia Ehud I
Isr Med Assoc J. 2016 Jan;18(1):27-31.
Background: One of the most alarming ocular injury trends in recent years has been the proliferation of paintball guns and the proportional increase in the number of ocular eye injuries caused by paintballs.
To describe five cases of paintball eye injuries that resulted in loss of functional vision in four of them.
We conducted a retrospective review of the clinical course in five patients with paintball eye injuries treated in the ophthalmology departments of two medical centers.
Five young males were evaluated for paintball injuries caused by blunt trauma. There was one case of full-thickness laceration (globe rupture). Four patients required one to five surgical interventions: three of these involved the removal of traumatic cataract including two eyes with significant zonular dehiscence treated by lens capsule conservation using anchoring devices, one retinal surgery and two glaucoma filtration surgeries. However, final visual outcome was not favorable due to irreversible retinal damage.
Paintball trauma often results in significant ocular injury and loss of functional vision despite successful surgical intervention. Most injuries occur in under-supervised settings and are easily preventable. Improved safety measures, strict regulation enforcement and appropriate public education could prevent such serious damage.
背景：近年来最令人担忧的眼外伤趋势之一是彩弹枪的泛滥以及由彩弹导致的眼外伤数量成比例增加。
描述5例彩弹所致眼外伤病例，其中4例导致功能性视力丧失。
我们对在两个医疗中心眼科治疗的5例彩弹所致眼外伤患者的临床病程进行了回顾性研究。
对5名因钝挫伤导致彩弹伤的年轻男性进行了评估。有1例全层裂伤（眼球破裂）。4例患者需要进行1至5次手术干预：其中3例涉及外伤性白内障摘除，包括2例伴有明显晶状体悬韧带断裂的眼睛，采用锚固装置保留晶状体囊进行治疗，1例视网膜手术和2例青光眼滤过手术。然而，由于视网膜损伤不可逆，最终视力预后不佳。
尽管手术干预成功，但彩弹创伤常导致严重的眼外伤和功能性视力丧失。大多数损伤发生在监管不足的环境中，且很容易预防。改进安全措施、严格执行监管规定以及进行适当的公众教育可以预防此类严重损伤。
