Lee Kelly M, Seery Christopher, Khouri Albert S
Rutgers New Jersey Medical School, Newark, NJ, USA.
J Curr Ophthalmol. 2017 Jul 5;29(4):318-320. doi: 10.1016/j.joco.2017.06.006. eCollection 2017 Dec.
To study the management and outcomes of patients with paintball injuries resulting in traumatic glaucoma.
A retrospective review was performed, identifying four patients with a confirmed diagnosis of traumatic glaucoma secondary to paintball sports.
Four male patients with paintball gun injuries presented with a mean follow-up time of 51 months after the date of injury. The mean age was 23.5 ± 18.6 years. Three patients presented with blunt trauma, while one patient had a ruptured globe. Presenting visual acuity (VA) was hand motions in three of the patients and no light perception in the fourth patient. All patients were diagnosed with traumatic glaucoma and treated with glaucoma medications during their follow-up. Two patients received tube shunts to control intraocular pressures (IOPs). At the time of most recent follow-up, three patients had elevated IOPs and were not on any medications. VA at the last follow-up was 20/400 or worse.
Traumatic glaucoma can be managed with surgical and medical interventions, while VA usually does not return to baseline levels prior to the injury. Prognostic predictors can be used to guide treatment and identify patients who should be closely followed. Because the presentation and onset is widely variable, follow-up and screening is crucial even years after the injury.
研究彩弹枪致伤导致外伤性青光眼患者的治疗及预后情况。
进行回顾性研究，确定4例确诊为彩弹运动继发外伤性青光眼的患者。
4例因彩弹枪致伤的男性患者，受伤日期至随访时的平均时间为51个月。平均年龄为23.5±18.6岁。3例为钝挫伤，1例眼球破裂。3例患者就诊时视力为手动，第4例无光感。所有患者均被诊断为外伤性青光眼，随访期间均接受青光眼药物治疗。2例患者接受了引流管植入术以控制眼压。在最近一次随访时，3例患者眼压升高且未服用任何药物。最后一次随访时的视力为20/400或更差。
外伤性青光眼可通过手术和药物干预进行治疗，而视力通常无法恢复到受伤前的基线水平。预后预测指标可用于指导治疗并识别应密切随访的患者。由于临床表现和发病情况差异很大，即使在受伤数年之后，随访和筛查也至关重要。
