Table 1.
Summary of Individual Clinical Findings, Interventions, and Outcomes
| Case | Age (years) | Sex | Eye | Initial Vision (Snellen) | Initial IOP (mmHg) | Type of Elastic Band | Mechanism | Setting | Anterior Segment Findings | Posterior Segment Findings | Intervention | Duration of Follow-up | Final Vision (Snellen) | Maximum IOP (mmHg) | Final IOP (mmHg) | Final Anatomic Disposition |
| 1 | 33 | M | OD | 20/200-2 | 10 | Flat loop | Slipped | Home | Traumatic iritis, iris sphincter tears, corneal abrasion, angle recession, inferior zonular dialysis, inferior iridodonesis | VH, mac-CR, SRH, CR, CHR | IOP lowering, corticosteroid, and atropine drops | 10 minutes | 20/40-2 | 48 | 12 | Attached, peripheral subretinal fibrosis, mac-RPE disruption |
| 2 | 33 | M | OS | HM | 7 | Flat loop | Slipped | Home | Traumatic iritis, corneal abrasion, angle recession | VH, mac-CR, CR, MH | IOP lowering, corticosteroid, and atropine drops | 10 minutes | 20/250-3 | 26 | 17 | Attached, MH closed, mac-RPE disruption, peripheral RPE disruption, peripheral subretinal fibrosis |
| 3 | 42 | F | OS | 20/32 | 14 | Flat loop | Slipped | Gym* | None | None | Observation | 0 | ||||
| 4 | 34 | F | OD | 20/25 | 14 | Flat loop | Slipped† | Gym | Traumatic iritis | None | Observation | 0 | ||||
| 5 | 62 | M | OS | 20/32-1 | 13 | Unspecified | Slipped | Unspecified | Subconjunctival hemorrhage | CR | Observation | 2 weeks | 20/25 | 14 | 14 | Attached, resolved CR |
| 6 | 76 | M | OD | 20/32 | 12 | Unspecified | Slipped | Unspecified | None | VH, CR, RH | Observation | 7 weeks | 20/20-1 | 14 | 14 | Attached, resolved VH and CR |
| 7 | 47 | F | OS | 20/16-2 | 14 | Cord with handles | Slipped | Home | Eyelid ecchymosis | None | Observation | 0 | ||||
| 8 | 67 | F | OS | 20/63 | 30 | Flat loop | Slipped | Exercise class | Traumatic iritis, dislocated lens, vitreous prolapse, angle recession, traumatic mydriasis | VH | 1. IOP lowering and corticosteroid drops 2. PPV/lensectomy/SF-PCIOL |
4 minutes | 20/40 | 40 | 20 | Attached, SF-PCIOL, traumatic mydriasis |
| 9 | 16 | F | OS | 20/16-1 | 15 | Unspecified | Slipped | Gym | None | CR | Observation | 0 | ||||
| 10 | 43 | F | OD | 20/20 | 16 | Unspecified | Slipped | Exercise class | Traumatic iritis | VH, SRH, CR | Observation | 5 weeks | 20/16-1 | 17 | 17 | Attached, resolved SRH and CR |
| 11 | 67 | M | OS | 20/100 | 10 | Unspecified | Slipped | Gym | None | VH, RRD, PVR | 1. SB/PPV/MP/AFx/EL/Gas 2. PPV/MP/AFx/EL/SiO 3. SOR/MP/inferior relaxing retinotomy/AFx/SIO 4. Intravitreal methotrexate ×3 |
6 minutes | 20/400 | 26 | 8 | Attached |
| 12 | 19 | M | OD | 20/25 | 9 | Cord with handles | Slipped | Home | Traumatic iritis, hyphema, angle recession | Initially: Avulsed vitreous base, CR, VH, PH 3m: RRD, PVR |
1. Topical steroids, cyclopentolate, IOP lowering drops 2. SB/PPV/AFx/EL/Gas |
5m | 20/63 | 26 | 12 | Attached |
| 13 | 19 | M | OS | 20/20 | 16 | Cord with handles | Slipped | Home | Traumatic iritis | RH | Corticosteroid and cyclopentolate drops | 5 minutes | 20/13 | 16 | 14 | Attached, resolved RH |
†
Injured by another user.
*
Injury occurred while supervised by personal trainer.
AFx, air fluid exchange; CHR, choroidal rupture; CR, commotio retinae; EL, endolaser; F, female; HM, hand motion; M, male; mac, macular; MH, traumatic macular hole; MP, membrane peel; OD, right eye; OS, left eye; PH, preretinal hemorrhage; PPV, pars plana vitrectomy; PVR, proliferative vitreoretinopathy; RH, retinal hemorrhage; RPE, retinal pigment epithelium; RRD, rhegmatogenous retinal detachment; SB, scleral buckle; SF-PCIOL, scleral fixated posterior chamber intraocular lens; SiO, silicone oil; SOR, silicone oil removal; SRH, subretinal hemorrhage; VH, vitreous hemorrhage.