Khalaily Soltan, Tsumi Erez, Lifshitz Tova, Kratz Assaf, Levy Jaime
Department of Ophthalmology, Soroka University Medical Center, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel.
Department of Ophthalmology, Soroka University Medical Center, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel.
J AAPOS. 2018 Apr;22(2):107-109. doi: 10.1016/j.jaapos.2017.10.019. Epub 2018 Feb 16.
To describe the long-term ocular effects of airsoft gun pellet injuries.
The present study extends by 7-10 years the results of a 2010 study on the acute ocular findings related to airsoft gun pellet injuries in 59 patients, wherein we found a variety of anterior and posterior segment injuries, including hyphema (66%), corneal edema (61%), corneal erosions (59%), and traumatic mydriasis (25%), as well as retinal edema in (22%), retinal hemorrhages and mild vitreous hemorrhage in (2.1%), and, in 1 patient, elevated intraocular pressure and traumatic cataract.
Of the 59 patients in the original study, up-to-date medical records were available for 26 (44%; 20 males). The mean follow-up time was 8 years (range, 7.2-10.3 years); the mean age, 17.1 years. Persistent abnormal findings included traumatic cataract in 3 cases (11.5%) and iris dialysis in 1 case (3.8%). In all traumatic cataract cases, cataract was not present at the time of initial examination after injury. Final mean best-corrected visual acuity was 0.92 (range 0.67-1.0), logMAR 0.03 (range 0.18-0).
While most acute airsoft gun-related ocular injuries are transient, some patients may develop significant and potentially sight-threatening ocular damage, even in the absence of significant pathologic findings at the time of the injury. Long-term follow-up on these patients is advisable.
描述气枪子弹伤的长期眼部影响。
本研究将2010年一项关于59例气枪子弹伤相关急性眼部检查结果的研究结果延长了7至10年，在该研究中我们发现了多种眼前段和眼后段损伤，包括前房积血（66%）、角膜水肿（61%）、角膜糜烂（59%）和外伤性瞳孔散大（25%），以及视网膜水肿（22%）、视网膜出血和轻度玻璃体出血（2.1%），并且在1例患者中出现了眼压升高和外伤性白内障。
在原研究的59例患者中，有26例（44%；20例男性）有最新的医疗记录。平均随访时间为8年（范围7.2 - 10.3年）；平均年龄17.1岁。持续的异常发现包括3例（11.5%）外伤性白内障和1例（3.8%）虹膜根部离断。在所有外伤性白内障病例中，受伤后初次检查时均未出现白内障。最终平均最佳矫正视力为0.92（范围0.67 - 1.0），logMAR为0.03（范围0.18 - 0）。
虽然大多数与气枪相关的急性眼部损伤是短暂的，但一些患者可能会出现严重的、潜在威胁视力的眼部损伤，即使在受伤时没有明显的病理发现。建议对这些患者进行长期随访。
