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Year : 2018  |  Volume : 32  |  Issue : 2  |  Page : 103-105

Ocular injuries due to airsoft gun pellets over an 8-year period

1 Department of Ophthalmology, J. N. Institute of Medical Sciences, Imphal, Manipur, India
2 Department of Surgery, Regional Institute of Medical Sciences, Imphal, Manipur, India

Correspondence Address:
Dr. Laishram Jaleshwar Singh
Thangmeiband Lairenhanjaba Leikai, Imphal West - 795 004, Manipur
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/jms.jms_66_18

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Objective: This study aims to review and to evaluate the ocular effects of blunt trauma due to injury from airsoft gun pellets over an 8-year period. Materials and Methods: We conducted a retrospective study based on the files of 92 patients who suffered ocular injury from airsoft guns and were admitted to one teaching hospital in Northeastern India, during an 8-year period. Results: A total of 92 eyes in 92 patients were examined. A total of 79 male and 13 female patients were affected. The mean age was 12.56 years (range 5–28 years). Mean follow-up time was 12.27 days (range 1–120 days). On initial examination, we found: hyphema (n = 79), corneal abrasion (n = 50), retinal edema (n = 9), subconjunctival hemorrhage (n = 29), lid contusion (n = 14), iris dialysis (n = 19), vitreous hemorrhage (n = 6), cataract (n = 9), and globe rupture (n = 2). Four patients had the pellet lodged in the upper fornix that required removal under topical anesthesia The final visual acuity was 6/6 in 62 patients, 6/9 in 11 patients, 6/12 in 7 patients, 6/24 in 2 patients, 6/60 in 3 patients, and finger counting in two cases who developed corneal scarring. Conclusion: Airsoft guns can cause many serious injuries of the eye some of which even required operative intervention. The long-term morbidity from some of these injuries is significant owing to the risks of permanent corneal scarring, cataract, and glaucoma. Eye care professionals and parents are urged to understand the potential damage that can result from such injuries and help spread awareness on the need to wear adequate protection when involved in this activity.

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