Eye Injury with a Paintball Projectile
Karel I.1,2 ,Pitrová Š.1 ,Lešťák J.1 ,Záhlava J.1
1 Oční oddělení,Praha 5 -Nové Butovice,vedoucí MUDr.J.Lešťák,CSc. 2 Oční klinika 1.LF a VFN,Praha,přednosta doc.MUDr.M.Filipec,CSc. |
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Summary:
A fourteen-year-old adolescent suffered after a direct hit with a plastic projectiv
(paintball)a s ver injury of the anterior and posterior segment of the eye
manifested by intraocular haemorrhage,cyclodialysis,detachment of the retina
with two giant tears and oedema and haemorrhages of the retina.After cerclage,
pars plana vitrectomy and transient four-month tamponade with silicone oil the
retina reattached.Late complications,cataract,broad anterior adherenc with
scars of the chamber angl and ciliary body,a lamellar defect of the macula and
partial atrophyof the opticdiscdeterminedthe subsequent developmentandwer
an indication for cataract surgery,implantation of an artificial lens into the
lenticular capsule and reconstruction of the pupil.The final result was from the
cosmetic and functional aspect (visual acuity 0.3)very satisfactory.
Plasticprojectiles (paintballs)are a new caus of severe eye injuries.At risk are
in particular participants of games who do not protect their eyes with spectacles
or masks.To save the function of the eye in unnecessary injuries frequently s veral
operations are needed and clos collaboration of surgeons for the anterior and
posterior segment.
Key words:
paintball,injury of the anterior and posterior segment of the eye
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