高尔夫球相关眼外伤的综合综述

COMPREHENSIVE REVIEW OF GOLF-RELATED OCULAR INJURIES.

作者信息

Crane Elliot S, Kolomeyer Anton M, Kim Eliott, Chu David S

机构信息

*Institute of Ophthalmology and Visual Science, Rutgers New Jersey Medical School, Doctors Office Center, Newark, New Jersey; †Department of Ophthalmology, Eye & Ear Institute, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania; and ‡Metropolitan Eye Research and Surgery Institute, Palisades Park, New Jersey.

出版信息

Retina. 2016 Jul;36(7):1237-43. doi: 10.1097/IAE.0000000000001119.

DOI:10.1097/IAE.0000000000001119

PMID:27243928

Abstract

PURPOSE

The authors aimed to analyze the causes and outcomes of golf-related ocular injuries in this retrospective meta-analysis, literature review, and original case series.

METHODS

Forty-one articles identified by PubMed search resulted in 11 included studies yielding 102 subjects. Included articles described all ocular golf injuries that presented to an institution during a determined period. Eight factors were analyzed: age, sex, location and mechanism of injury, protective eyewear use, resulting open-globe injury, resulting enucleation, and visual acuity changes.

RESULTS

No subjects wore adequate protective eyewear. Significantly more subjects were injured by golf balls (72%) than golf clubs (27%) or foreign body (1%) (P < 0.0001). The ratio of golf ball to club injuries was significantly higher in adults (92%) than in children (23%) (P < 0.0001). Forty-seven of 93 (51%) injuries resulted in an open globe, whereas 27/82 (33%) injuries resulted in enucleation. The mean ± SD logMAR visual acuity improved by -0.641 ± 0.745 after treatment (>6 lines of improvement; P = 0.0001).

CONCLUSION

Reported ocular golf injuries occur less frequently than other ocular sports injuries, but may result in devastating outcomes. Supervision of children using golf equipment should be encouraged.

摘要

目的

在这项回顾性荟萃分析、文献综述及原始病例系列研究中，作者旨在分析高尔夫球相关眼外伤的病因及预后。

方法

通过PubMed检索确定的41篇文章，最终纳入11项研究，共102名受试者。纳入的文章描述了在特定时期内就诊于某机构的所有高尔夫球致眼外伤情况。分析了八个因素：年龄、性别、损伤部位及机制、防护眼镜使用情况、是否导致开放性眼球损伤、是否导致眼球摘除以及视力变化。

结果

没有受试者佩戴了合适的防护眼镜。因高尔夫球致伤的受试者（72%）显著多于因高尔夫球杆致伤的受试者（27%）或因异物致伤的受试者（1%）（P<0.0001）。成人因高尔夫球致伤与因球杆致伤的比例（92%）显著高于儿童（23%）（P<0.0001）。93例损伤中有47例（51%）导致开放性眼球损伤，而82例损伤中有27例（33%）导致眼球摘除。治疗后平均±标准差的对数最小分辨角视力提高了-0.641±0.745（改善超过6行；P=0.0001）。