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双打麻烦——85 例羽毛球致眼外伤:临床特征与预防。

Doubles trouble-85 cases of ocular trauma in badminton: clinical features and prevention.

机构信息

Department of Ophthalmology, Beijing Tongren Hospital, Capital Medical University, Beijing, China.

Department of General Medicine, Beijing Electronic Science and Technology Institute, Beijing, China.

出版信息

Br J Sports Med. 2020 Jan;54(1):23-26. doi: 10.1136/bjsports-2018-099496. Epub 2019 Apr 15.

Abstract

OBJECTIVES

To describe ocular injuries caused by badminton and to explore the implications for future prevention strategies.

METHODS

We enrolled 85 patients with ocular trauma caused by badminton. Information collected from patients included type of game, instigator, instrument of injury and lessons in badminton from a professional, and ocular trauma information such as type of injury, treatment and final outcomes.

RESULTS

The 85 patients (52 men, 33 women) were aged 15-65 years with an average age of 42.9 (±10.7) years. In 60 cases the player was hit by a shuttlecock and in 25 the player was hit by a racquet. 73 cases occurred in doubles matches and 10 in singles matches. In 31 cases the trauma was caused by an opponent and in 52 cases by a partner; 2 cases involved bystanders, not players. About 70% (43/61) of the injured and 82% (40/49) of the instigators had not received badminton lessons from a professional. 80 injuries were non-penetrating and 5 were penetrating. There were 58 cases with hyphaema, 36 with secondary glaucoma, 23 with lens subluxation and 2 with retinal detachment. Surgery comprised phacoemulsification or lensectomy and vitrectomy in 16 cases, silicone oil tamponade in 2 cases, trabeculectomy in 3 cases and direct cyclopexy in 5 cases.

CONCLUSION

The vast majority of the badminton related eye injuries occurred among doubles players and were instigated by the injured person's partner. Non-penetrating injury was more frequent; penetrating injury was usually more serious. We recommend that badminton players use protective eyewear and receive safety education and professional coaching/instruction on techniques to protect against serious eye injuries.

摘要

目的

描述羽毛球运动所致眼外伤,并探讨对未来预防策略的启示。

方法

我们纳入 85 例因羽毛球致眼外伤的患者。收集患者的信息包括运动类型、致伤者、致伤器械和接受过的专业羽毛球课程,以及眼外伤信息如损伤类型、治疗和最终结局。

结果

85 例(52 例男性,33 例女性)患者年龄 15-65 岁,平均年龄 42.9(±10.7)岁。60 例患者被羽毛球击中,25 例患者被球拍击中。73 例发生在双打比赛中,10 例发生在单打比赛中。31 例创伤由对手引起,52 例由搭档引起;2 例涉及旁观者,而非运动员。约 70%(43/61)的受伤者和 82%(40/49)的致伤者未接受过专业的羽毛球课程。80 例为非穿透性损伤,5 例为穿透性损伤。58 例合并前房积血,36 例合并继发性青光眼,23 例合并晶状体半脱位,2 例合并视网膜脱离。手术包括 16 例白内障超声乳化术或晶状体切除术联合玻璃体切除术,2 例硅油填充术,3 例小梁切除术和 5 例直接睫状体光凝术。

结论

绝大多数与羽毛球相关的眼外伤发生在双打运动员中,由受伤者的搭档引起。非穿透性损伤更为常见;穿透性损伤通常更为严重。我们建议羽毛球运动员使用防护眼镜,并接受安全教育和专业的技术指导/培训,以防止严重的眼部损伤。

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