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Updated: Jan 25, 2026

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BB Gun-Related Open Globe Injuries.

Mehak Aziz1, Shriji Patel1

  • 1Vanderbilt Eye Institute, Nashville, Tennessee.

Ophthalmology. Retina
|May 4, 2019
PubMed
Summary

BB and pellet gun injuries frequently cause severe open globe injuries, leading to poor vision and requiring multiple surgeries. Eye protection is crucial to prevent these devastating outcomes.

Area of Science:

  • Ophthalmology
  • Trauma Surgery
  • Public Health

Background:

  • Eye injuries from BB and pellet guns are a significant concern.
  • Open globe injuries require immediate and specialized medical attention.

Purpose of the Study:

  • To characterize the clinical features and visual outcomes of patients with open globe injuries caused by BB or pellet guns.
  • To highlight the severity and long-term consequences of these injuries.

Main Methods:

  • Retrospective case series of patients with BB or pellet gun-related open globe injuries.
  • Data collected included demographics, injury details, surgical procedures, and final visual acuity.
  • Ocular Trauma Score (OTS) was calculated where possible.

Main Results:

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  • 16 patients with open globe injuries from BB/pellet guns were identified.
  • Most patients were young males who experienced severe vision loss (hand motion or worse in 94%).
  • Multiple complications and additional surgeries were common, with 8 patients having no light perception vision.

Conclusions:

  • BB and pellet gun open globe injuries lead to devastating visual outcomes.
  • Despite surgical interventions, final vision remains poor, emphasizing the need for preventative measures.
  • The study underscores the risks associated with these firearms and the importance of eye protection.