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Vol. 93. Issue 8.
Pages 375-380 (August 2018)
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Vol. 93. Issue 8.
Pages 375-380 (August 2018)
Original article
Opthalmological sequelae due to paintball injuries: Case studies
Secuelas oftalmológicas por traumatismo con paintball: estudio de casos
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3
A.C. Peñaranda, A. Montoya, A.P. Arciniegas, C. López-de-Mesa
Corresponding author
Escuela Superior de Oftalmología, Instituto Barraquer de América, Bogotá, D.C., Colombia
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Tables (3)
Table 1. Patient frequency distribution according to age, sex and affected eye.
Table 2. Visual acuity behavior in evolution and relationship with posterior pole involvement.
Table 3. Description of clinic findings in 14 cases with blunt traumatism caused by paintball.
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Abstract
Objective

Describe the ophthalmological sequelae of patients diagnosed with blunt eye injury by paintball.

Material and methods

There were a total 14 cases with a diagnosis of blunt trauma by paintball were treated at the ophthalmology emergency department of the Barraquer Clinic in Bogotá, Colombia. All patients underwent a complete ophthalmological examination with their respective controls according to their outcome.

Results

The frequency of eye trauma by paintball was 3.01%. Fourteen eyes were evaluated, age range from 9 to 49 years. Cases were unilateral, 1 woman and 13 men, initial visual acuity less than 20/30 in 12 eyes. Only 5 eyes progressed satisfactorily, and 3 were surgically intervened. The cases that did not show any improvement in visual acuity were related to posterior pole problems, with the most frequent being macular alterations, choroidal rupture, choroidal detachment, retinal tear, and retinal folds. In 3 eyes, clinical improvement of visual acuity was evidenced secondary to hemorrhagic processes that resolved with medical treatment. One of them underwent surgical treatment of the lens with an intraocular lens implant. In 2 eyes, the visual recovery was very satisfactory and 100% in another.

Conclusion

Paintball has increased as a sport and recreational activity, where paint projectiles are fired with compressed air weapons. It carries risks of suffering various trauma that can lead to catastrophic episodes, in terms of visual health, and repercussions on the quality of life of those affected.

Keywords:
Blunt trauma
Eye trauma
Ocular trauma paintball
Resumen
Objetivo

Describir las secuelas oftalmológicas de pacientes con diagnóstico de traumatismo ocular contuso por paintball.

Material y métodos

Se incluyeron 14 casos con diagnóstico de traumatismo ocular contuso por paintball, que fueron atendidos en el Servicio de Consulta Prioritaria de la Clínica Barraquer en Bogotá, Colombia. A todos los pacientes se les realizó un examen oftalmológico completo con sus respectivos controles según su evolución.

Resultados

La frecuencia de los traumatismos oculares por paintball fue del 3,01%. Se evaluaron 14 ojos, rango de edad de 9 a 49 años. Los casos fueron unilaterales, una mujer y 13 hombres, agudeza visual inicial menor a 20/30 en 12 ojos. Solo 5 ojos evolucionaron satisfactoriamente, a 3 se les intervino quirúrgicamente. Los casos que no experimentaron mejoría de su agudeza visual estuvieron relacionados con problemas de polo posterior, siendo las más frecuentes las alteraciones maculares, la rotura coroidea, el desprendimiento coroideo, el desgarro retiniano y los pliegues en retina. En 3ojos se evidenció mejoría clínica de la agudeza visual secundaria a procesos hemorrágicos que se resolvieron con tratamiento médico. En uno de ellos se realizó tratamiento quirúrgico del cristalino con implante de lente intraocular. En 2ojos la su recuperación visual fue muy satisfactoria y en otro el 100%.

Conclusión

El paintball ha tomado fuerza como deporte y recreación utilizando proyectiles de pintura que se disparan con armas de aire comprimido, conlleva riesgos de presentar diversos traumatismos que pueden generar episodios catastróficos en términos de salud visual y con repercusiones en la calidad de vida de los afectados.

Palabras clave:
Traumatismo contundente
Traumatismo ocular
Paintball recreativo

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