Cargando…
Ocular trauma by kinetic impact projectiles during civil unrest in Chile
BACKGROUND: The use of kinetic impact projectiles (KIPs) for crowd-control has increased worldwide. Despite having been created as non-lethal weapons, significant damage to several organs, including the eye, has been reported. In this study, we investigated cases of ocular trauma from KIPs during th...
Autores principales: | , , , , , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Nature Publishing Group UK
2020
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7443815/ https://www.ncbi.nlm.nih.gov/pubmed/32839560 http://dx.doi.org/10.1038/s41433-020-01146-w |
_version_ | 1783573697901101056 |
---|---|
author | Rodríguez, Álvaro Peña, Sebastián Cavieres, Isabel Vergara, María José Pérez, Marcela Campos, Miguel Peredo, Daniel Jorquera, Patricio Palma, Rodrigo Cortés, Dennis López, Mauricio Morales, Sergio |
author_facet | Rodríguez, Álvaro Peña, Sebastián Cavieres, Isabel Vergara, María José Pérez, Marcela Campos, Miguel Peredo, Daniel Jorquera, Patricio Palma, Rodrigo Cortés, Dennis López, Mauricio Morales, Sergio |
author_sort | Rodríguez, Álvaro |
collection | PubMed |
description | BACKGROUND: The use of kinetic impact projectiles (KIPs) for crowd-control has increased worldwide. Despite having been created as non-lethal weapons, significant damage to several organs, including the eye, has been reported. In this study, we investigated cases of ocular trauma from KIPs during the civil unrest in Chile. To our knowledge, this is the largest case series recorded in international literature. METHODS: We included all patients who sought care or were referred to the Eye Trauma Unit, a national referral centre in Santiago, Chile, during the civil unrest from October 18 to November 30, 2019. We reviewed paper medical records and extracted data on suspected cause of trauma, type of trauma, visual acuity and sociodemographic data. RESULTS: We included 259 patients, out of which in 182 cases (70.5%) KIPs were the suspected cause. Cases by KIPs were predominantly male (86.6%), young (median age 26.3, interquartile range 22.0–31.4) and living in the Metropolitan Region. Eighty-nine patients (48.9%) had severe visual impairment or were blind at the first examination. The trauma was an open-globe injury in 20.3% of cases and 13 cases required evisceration of the ocular content. Compared to other causes of ocular trauma, KIPs were related to a more severe loss of visual acuity and a higher frequency of open-globe injuries. CONCLUSIONS: The use of KIPs during a period of civil unrest in Chile resulted in severe ocular trauma, visual impairment and permanent disability. KIPs should be avoided as a method of crowd-control. |
format | Online Article Text |
id | pubmed-7443815 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Nature Publishing Group UK |
record_format | MEDLINE/PubMed |
spelling | pubmed-74438152020-08-24 Ocular trauma by kinetic impact projectiles during civil unrest in Chile Rodríguez, Álvaro Peña, Sebastián Cavieres, Isabel Vergara, María José Pérez, Marcela Campos, Miguel Peredo, Daniel Jorquera, Patricio Palma, Rodrigo Cortés, Dennis López, Mauricio Morales, Sergio Eye (Lond) Article BACKGROUND: The use of kinetic impact projectiles (KIPs) for crowd-control has increased worldwide. Despite having been created as non-lethal weapons, significant damage to several organs, including the eye, has been reported. In this study, we investigated cases of ocular trauma from KIPs during the civil unrest in Chile. To our knowledge, this is the largest case series recorded in international literature. METHODS: We included all patients who sought care or were referred to the Eye Trauma Unit, a national referral centre in Santiago, Chile, during the civil unrest from October 18 to November 30, 2019. We reviewed paper medical records and extracted data on suspected cause of trauma, type of trauma, visual acuity and sociodemographic data. RESULTS: We included 259 patients, out of which in 182 cases (70.5%) KIPs were the suspected cause. Cases by KIPs were predominantly male (86.6%), young (median age 26.3, interquartile range 22.0–31.4) and living in the Metropolitan Region. Eighty-nine patients (48.9%) had severe visual impairment or were blind at the first examination. The trauma was an open-globe injury in 20.3% of cases and 13 cases required evisceration of the ocular content. Compared to other causes of ocular trauma, KIPs were related to a more severe loss of visual acuity and a higher frequency of open-globe injuries. CONCLUSIONS: The use of KIPs during a period of civil unrest in Chile resulted in severe ocular trauma, visual impairment and permanent disability. KIPs should be avoided as a method of crowd-control. Nature Publishing Group UK 2020-08-24 2021-06 /pmc/articles/PMC7443815/ /pubmed/32839560 http://dx.doi.org/10.1038/s41433-020-01146-w Text en © The Author(s), under exclusive licence to The Royal College of Ophthalmologists 2020 |
spellingShingle | Article Rodríguez, Álvaro Peña, Sebastián Cavieres, Isabel Vergara, María José Pérez, Marcela Campos, Miguel Peredo, Daniel Jorquera, Patricio Palma, Rodrigo Cortés, Dennis López, Mauricio Morales, Sergio Ocular trauma by kinetic impact projectiles during civil unrest in Chile |
title | Ocular trauma by kinetic impact projectiles during civil unrest in Chile |
title_full | Ocular trauma by kinetic impact projectiles during civil unrest in Chile |
title_fullStr | Ocular trauma by kinetic impact projectiles during civil unrest in Chile |
title_full_unstemmed | Ocular trauma by kinetic impact projectiles during civil unrest in Chile |
title_short | Ocular trauma by kinetic impact projectiles during civil unrest in Chile |
title_sort | ocular trauma by kinetic impact projectiles during civil unrest in chile |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7443815/ https://www.ncbi.nlm.nih.gov/pubmed/32839560 http://dx.doi.org/10.1038/s41433-020-01146-w |
work_keys_str_mv | AT rodriguezalvaro oculartraumabykineticimpactprojectilesduringcivilunrestinchile AT penasebastian oculartraumabykineticimpactprojectilesduringcivilunrestinchile AT cavieresisabel oculartraumabykineticimpactprojectilesduringcivilunrestinchile AT vergaramariajose oculartraumabykineticimpactprojectilesduringcivilunrestinchile AT perezmarcela oculartraumabykineticimpactprojectilesduringcivilunrestinchile AT camposmiguel oculartraumabykineticimpactprojectilesduringcivilunrestinchile AT peredodaniel oculartraumabykineticimpactprojectilesduringcivilunrestinchile AT jorquerapatricio oculartraumabykineticimpactprojectilesduringcivilunrestinchile AT palmarodrigo oculartraumabykineticimpactprojectilesduringcivilunrestinchile AT cortesdennis oculartraumabykineticimpactprojectilesduringcivilunrestinchile AT lopezmauricio oculartraumabykineticimpactprojectilesduringcivilunrestinchile AT moralessergio oculartraumabykineticimpactprojectilesduringcivilunrestinchile |