Ocular trauma secondary to exercise resistance bands during the COVID-19 pandemic

Am J Emerg Med. 2021 Apr:42:217-220. doi: 10.1016/j.ajem.2020.11.054. Epub 2020 Dec 4.

Abstract

Objective: To characterize injuries caused by exercise resistance bands.

Method: Single-site retrospective case series of patients presenting to the Bascom Palmer Eye Institute emergency room with ocular injuries secondary to exercise resistance bands from March through September 2020.

Results: Eleven patients (9 males, 2 females, 14 eyes) were reviewed. Eight patients had a unilateral injury (3 right eyes, 5 left eyes) while 3 had bilateral injuries. Iritis was the most common presentation, seen in all 11 patients, followed by hyphema (9 patients, 82%), and vitreous hemorrhage (4 patients, 36%). Among affected eyes, the mean presenting visual acuity was approximately 20/100, improving to 20/40 on the last follow up (p = 0.06). However, 4 eyes (33%) had vision ≤20/60 at last follow up.

Conclusions: Exercise resistance bands can cause a wide spectrum of ocular injuries, some leading to long-term vision loss. As such, we recommend that patients strongly consider using eye protection goggles or glasses while using resistance bands for exercise.

Keywords: Ocular trauma; Ophthalmology; Retinal detachment; Uveitis.

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • COVID-19 / epidemiology*
  • Emergency Service, Hospital
  • Eye Injuries / diagnosis*
  • Eye Injuries / etiology*
  • Eye Injuries / therapy
  • Female
  • Humans
  • Male
  • Middle Aged
  • Resistance Training / adverse effects*
  • Resistance Training / instrumentation*
  • Retrospective Studies