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Traumatic glaucoma due to paintball injuries: A case series
Kelly M Lee1, Christopher Seery1, Albert S Khouri1
1Rutgers New Jersey Medical School, Newark, NJ, USA.
Journal of Current Ophthalmology
|December 23, 2017
Summary
Paintball injuries can cause traumatic glaucoma, often leading to poor visual outcomes despite treatment. Long-term monitoring is essential for patients with paintball-related eye injuries.
Area of Science:
- Ophthalmology
- Trauma Surgery
Background:
- Paintball sports carry a risk of ocular trauma.
- Traumatic glaucoma is a potential severe complication of paintball eye injuries.
Purpose of the Study:
- To investigate the management and outcomes of patients who sustained traumatic glaucoma from paintball injuries.
Main Methods:
- A retrospective review of four patients diagnosed with traumatic glaucoma following paintball incidents.
- Analysis of injury types, treatments, intraocular pressure (IOP) control, and visual acuity (VA) outcomes.
Main Results:
- Four male patients with paintball gun injuries were followed for a mean of 51 months.
- All patients developed traumatic glaucoma; treatments included medications and two tube shunts.
- Final VA was 20/400 or worse in all patients, with three experiencing elevated IOPs at follow-up.
Conclusions:
- Traumatic glaucoma from paintball injuries requires both medical and surgical management.
- Visual acuity rarely recovers to pre-injury levels.
- Close, long-term follow-up is critical due to variable presentation and potential for delayed complications.
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