Department of Vitreo Retinal, J.P.M. Rotary Eye Hospital, Cuttack, Odisha, India.
Affiliated to National Board of Examinations, Ministry of Health and Family Welfare, Government of India, New Delhi, India.
Indian J Ophthalmol. 2018 Feb;66(2):256-261. doi: 10.4103/ijo.IJO_458_17.
The purpose of this study is to study the clinical features, visual outcome, management, and ocular complications of ocular injury, following trauma with tennis or cricket ball.
A prospective, noncomparative case study of patients having injury with tennis/cricket ball while playing cricket was conducted between January 2013 and April 2016. Seventy-six eyes of 76 patients were studied. Presenting vision, age, gender, time since injury, general and ocular examination, intraocular pressure, indirect ophthalmoscopy, B scan, and X-ray/computed tomography scan findings were noted. Patients were managed medically or surgically as per the need and followed up at least for 6 months.
Seventy-six eyes of 76 patients were studied. All cases were male, except two. Majority (80.2%) were <25 years. Median presenting visual acuity (VA) was 6/36 and median final VA was 6/18. Significant findings in the decreasing order of frequency were sphincter tear (26.3%), retinal detachment (23.6%), angle recession (18.4%), choroidal rupture (17.1%), and Berlin's edema (15.7%). Most of the cases (69.7%) were managed medically. Only 30.2% cases needed surgical intervention. Final visual outcome in our study was depended on initial VA (P = 0.000). It was also correlating with presenting clinical feature (P = 0.010) and type of intervention (medical/surgical) (P = 0.001).
Cricket-related ocular injury generally has a poor prognosis with most cases being closed globe injury; retinal detachment is the most common vision-threatening presentation. In spite of being a common event, cricket-related injury is sparingly documented and hence needs further studies for proper documentation, prognostication, and formulation of definitive management plan.
本研究旨在探讨球类运动（如网球或板球）致眼部创伤后眼部损伤的临床特征、视力预后、处理方法和眼部并发症。
对 2013 年 1 月至 2016 年 4 月期间因板球运动中被网球或板球击伤而就诊的患者进行前瞻性、非对照病例研究。共纳入 76 例（76 只眼）患者。记录患者的视力、年龄、性别、受伤至就诊时间、一般检查和眼部检查、眼压、间接检眼镜检查、B 超、X 线/CT 扫描结果。根据需要对患者进行药物或手术治疗，并进行至少 6 个月的随访。
共纳入 76 例（76 只眼）患者。除 2 例外，其余均为男性，且大多数（80.2%）患者年龄<25 岁。患者就诊时的平均最佳矫正视力（BCVA）为 6/36，末次随访时的平均 BCVA 为 6/18。视力下降的主要原因按频率依次为括约肌撕裂（26.3%）、视网膜脱离（23.6%）、房角后退（18.4%）、脉络膜破裂（17.1%）和 Berlin 水肿（15.7%）。69.7%的患者接受了药物治疗，30.2%的患者接受了手术治疗。研究中最终的视力预后取决于初始视力（P=0.000），也与就诊时的临床特征（P=0.010）和干预类型（药物/手术）（P=0.001）相关。
板球相关的眼部损伤通常预后较差，大多数为眼球闭合性损伤；视网膜脱离是最常见的威胁视力的表现。尽管这是一种常见的眼部损伤，但对其报道较少，因此需要进一步研究以进行适当的记录、预测和制定明确的治疗计划。
