A 30-year-old man presented to the ophthalmology clinic with a 1-week history of blurred vision in his right eye. He reported using a massage gun on the periocular regions bilaterally for 3 months. The best-corrected visual acuity was 20/25 in the right eye and 20/20 in the left eye. Slit-lamp examination revealed bilateral iris atrophy in the inferonasal region. The right eye showed anterior subcapsular and cortical cataract at the visual axis, accompanied by mild phacodonesis. The left eye lens had dot opacities without lens subluxation. The patient underwent right phacoemulsification with implantation of a multifocal intraocular lens. To our knowledge, this is the first reported case of bilateral traumatic cataract with symmetrical iris atrophy resulting from repetitive periocular massage using a massage gun.
Ocular injury is frequently encountered in ophthalmology clinics. It is estimated that there are 55 million activity-restricting eye injuries each year. Traumatic cataract is a potential complication of ocular injury, occurring in 1%–15% of all cases and in 43%–55% of open globe injuries. Traumatic cataract typically follows a one-time injury to the eye; however, traumatic cataract due to relatively low-energy, repetitive vibration is rarely documented.
We report a case of bilateral traumatic cataract with symmetrical iris atrophy after repetitive periocular massage with a massage gun. We believe this is the first such case reported in the literature.
https://journals.lww.com/ijog/fulltext/2021/01040/Massage_gun_induced_ocular_injury___A_case_report.32.aspx