Case Report Highlights Risk of Percussive Therapy Near Eyes
Doctors are warning against the use of percussive massage guns near the eyes after a case report published in BMJ Case Reports linked the devices to retinal tears. The report details a patient who developed a retinal dialysis—a type of retinal tear—after using a massage gun to treat headaches and sinus pain around the eye area.
The patient, whose identity was not disclosed, presented with vision symptoms following the use of a handheld percussive massage device with a small head attachment applied directly to the closed eyelid. Examination revealed a retinal dialysis in the superior temporal periphery, along with adjacent retinal commotio (bruising). The macula and optic nerve appeared normal.
Mechanism of Injury and Clinical Findings
Retinal dialysis is a separation of the retina from the non-pigmented epithelium of the pars plana at the ora serrata, often caused by blunt trauma. The rapid, repetitive impacts from a massage gun can transmit sufficient force through the eye to cause such damage, even when applied over the closed eyelid. The report emphasizes that the devices are not designed for ophthalmic use and can generate forces that exceed the eye's tolerance.
Doctors noted that the patient's injury was identified early, allowing for prompt treatment. The retinal tear was successfully repaired with laser photocoagulation, and the patient recovered without significant vision loss. However, delayed treatment could lead to retinal detachment and permanent vision impairment.
Growing Popularity of Massage Guns Raises Concerns
Massage guns have become widely popular for muscle recovery and pain relief, but their use around sensitive areas like the eyes is not recommended. According to the report, there are no established safety guidelines for using these devices near the eyes, and manufacturers typically warn against application on bony prominences or sensitive areas.
Dr. Rajesh Rao, a co-author of the report, stated: "This case highlights the potential dangers of using percussive massage devices near the eye. Patients should avoid using these devices on or around the orbital area to prevent serious ocular injury." The report urges clinicians to be aware of this emerging cause of ocular trauma and to counsel patients accordingly.
Prevention and Recommendations
The authors recommend that individuals avoid using massage guns on the face, especially near the eyes. For headache or sinus pain, alternative treatments such as warm compresses, over-the-counter pain relievers, or consultation with a healthcare provider are advised. If vision changes occur after using a massage gun, immediate medical evaluation by an ophthalmologist is critical.
This case adds to a growing body of evidence linking consumer devices to unintended injuries. The report calls for clearer labeling and public education about the risks of using percussive therapy tools on delicate anatomical structures.
