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与篮球相关的眼部创伤所致视网膜脱离

Retinal Detachment Associated With Basketball-Related Eye Trauma.

作者信息

Lee Tsung-Han, Chen Yi-Hao, Kuo Hsi-Kung, Chen Yung-Jen, Chen Chih-Hsin, Lee Jong-Jer, Wu Pei-Chang

机构信息

Department of Ophthalmology, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Kaohsiung, Taiwan.

Department of Ophthalmology, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Kaohsiung, Taiwan.

出版信息

Am J Ophthalmol. 2017 Aug;180:97-101. doi: 10.1016/j.ajo.2017.05.025. Epub 2017 Jun 21.

DOI:10.1016/j.ajo.2017.05.025
PMID:28600149
Abstract

PURPOSE

Basketball is a popular sport involving significant body contact, which may frequently result in ocular trauma. The aim of this study was to evaluate the characteristics and visual outcomes of retinal detachment associated with basketball-related injury.

DESIGN

Retrospective, interventional case series.

METHODS

We reviewed the course of patients who sustained traumatic retinal detachment from basketball-related ocular trauma between 2003 and 2015.

RESULTS

Thirteen patients were evaluated for basketball-related traumatic retinal detachment. Twelve (92%) were male and 1 (8%) female, with an average age of 18.2 years. The majority (9 of 13, 70%) of patients had moderate-to-high myopia, and none were using protective eyewear when they sustained the eye trauma. Rhegmatogenous retinal detachment was observed in all eyes. The preoperative mean visual acuity was 20/625 (range, hand motions to 20/20). Initial surgery using scleral buckling alone was performed in most (8 of 13, 62%) of the patients. Retinal reattachment was achieved in 10 (76%) eyes after the first operation and in 12 (92%) at the end of the intervention. The mean follow-up was 3.9 years (range, 4 months to 12 years). The visual acuity during last follow-up was 20/231 (range, light perception to 20/20). In the multivariable analysis, initial visual acuity was an independent factor affecting the final visual outcome (P = .006).

CONCLUSION

Retinal detachment associated with basketball-related injury may cause severe visual loss. In the current study, all retinal detachments were of rhegmatogenous type and commonly occurred in young individuals with myopia. Initial visual acuity was associated with the prognosis. Risk awareness for early detection and intervention are important in these traumas.

摘要

目的

篮球是一项广受欢迎的运动,涉及大量身体接触,这可能经常导致眼部创伤。本研究的目的是评估与篮球相关损伤所致视网膜脱离的特征及视力预后。

设计

回顾性、干预性病例系列研究。

方法

我们回顾了2003年至2015年间因篮球相关眼部创伤导致外伤性视网膜脱离患者的病程。

结果

对13例与篮球相关的外伤性视网膜脱离患者进行了评估。其中12例(92%)为男性,1例(8%)为女性,平均年龄18.2岁。大多数患者(13例中的9例,70%)患有中度至高度近视,且眼部受伤时均未佩戴防护眼镜。所有患眼均观察到孔源性视网膜脱离。术前平均视力为20/625(范围,手动视力至20/20)。大多数患者(13例中的8例,62%)最初仅采用巩膜扣带术进行手术。首次手术后10只眼(76%)实现视网膜复位,干预结束时12只眼(92%)实现视网膜复位。平均随访时间为3.9年(范围,4个月至12年)。末次随访时的视力为20/231(范围,光感至20/20)。在多变量分析中,初始视力是影响最终视力预后的独立因素(P = 0.006)。

结论

与篮球相关损伤所致的视网膜脱离可能导致严重视力丧失。在本研究中,所有视网膜脱离均为孔源性,常见于近视的年轻人。初始视力与预后相关。在这些创伤中,提高早期发现和干预的风险意识很重要。

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