Citation

Tabatabaei SA, Soleimani M, Rajabi MB, Ahmadraji AA, Khodabandeh A, Beheshtnejad A, Tabatabaei SM, Seidi R, Yaseri M. J. Curr. Ophthalmol. 2018; 30(3): 239-244.

Affiliation

Tehran University of Medical Sciences, Tehran, Iran.

Copyright

(Copyright © 2018, Iranian Society of Ophthalmology, Publisher Elsevier Publishing)

DOI

10.1016/j.joco.2018.01.002

PMID

30197954

PMCID

PMC6127358

Abstract

PURPOSE: To report the demographic data, treatment methods, and outcomes among patients with pellet gun eye injuries.

METHODS: This study was a retrospective review of all pellet gun eye injuries coming to Farabi Eye Hospital, a referral ocular trauma center in Iran, from February 2009 to November 2013. Patients' demographics, type of injury, choice of management, complications, and post-treatment visual acuity were recorded.

RESULTS: One hundred eleven patients with a mean age of 25.7 ± 15.6 years entered the study. The most common age group was younger adults (16-45 years old) (61.3%). The mean uncorrected visual acuity after treatment was 2.05 (20/2240) ±1.5 logMAR. The most prevalent ocular zone was zone III (38.7%), and an intraocular foreign body was present in 97 patients (87.4%). Lid laceration and periocular tissue damage were present in 27 patients (24.3%). Lensectomy and vitrectomy were the most common treatment (31.5%). In most patients (87.4%), the injury was non-deliberate, and the most common time of hospitalization was the same day (45.0%). The only statistically significant indicator of post-treatment visual acuity was ocular trauma score (OTS) at admission (P < 0.001). At the end of follow-up, enucleation was performed for 20 patients (18%), and thirty-six patients (32%) had no light perception (NLP) in vision.

CONCLUSION: Pellet gun injuries were more common among young male patients, and the only statistically significant indicator of post-treatment visual acuity was OTS at admission.

Language: en

Keywords

Demographic; Eye; Injury; Outcome; Pellet gun