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December 1989

Bull's-Eye Corneal Lesion Resulting From War Game Injury

Author Affiliations

Seattle, Wash; Helena, Mont

Arch Ophthalmol. 1989;107(12):1727. doi:10.1001/archopht.1989.01070020809011

In the recreational sport "war games" opposing teams fire gelatin pellets containing vegetable dye at each other as they attempt to capture the opponent's flag without being hit. Three articles have appeared in the ophthalmic literature that report eye trauma resulting from war games.1-3 We present the following case because of its unique corneal injury.

Case Report.  —A 16-year-old white male adolescent was participating in an organized war game but was not wearing his protective safety goggles. A yellow "paint pellet" was fired by a participant (a policeman by trade) from a distance of about 4.5 m, striking the patient's right eye.The initial examination immediately following the injury revealed a right hyphema with the best visual acuity reduced to 20/300 OD. A distinct imprint of the pellet's impact was noted on the nasal half of the right cornea. This imprint, which straddled the limbus, produced a depressed circular

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