Department of Ophthalmology and Shanghai Key Laboratory of Visual Impairment and Restoration, Eye, Ear, Nose, and Throat Hospital of Fudan University, Shanghai, China.
Shanghai West Yanan Middle School, Shanghai, China.
BMC Ophthalmol. 2023 Jun 7;23(1):258. doi: 10.1186/s12886-023-02972-8.
To describe the clinical features, visual outcomes, management, and complications of ocular injury in badminton and investigate risk factors associated with visual impairment.
Data on patients injured while playing badminton admitted to Department of Ophthalmology, Eye, Ear, Nose, and Throat Hospital, Fudan University between January 2018 to December 2020.The relationship between visual acuity (VA) and demographic and clinical variables was also analyzed. Patients were managed medically or surgically as per their needs, followed up for at least 18 months. The visual outcomes were predicted using ocular trauma score (OTS), predicted outcomes were compared with actual outcomes using statistical tests.
This study involved 102 patients (78 men, 24 women) with a mean age of 43.8 ± 16.1 years (7-71 years). Of these, 93 patients had closed-globe injuries and 9 had open-globe injuries. Vision-threatening findings included lens subluxation(31.4%),retinal detachment(13.7%),hyphema(12.7%). Open-globe injury had significantly lower presenting VA and final VA (P= 0.0164, 0.0053).Final VA was found to be correlated with presenting VA, maculopathy, retinal detachment, and OTS (P=0.0000, 0.0494, 0.0001, 0.0000 respectively), it was worse in patients who were under 20 years of age and were female. OTS prediction was not significantly different when compared with actual visual outcomes postoperatively in OTS3, OTS4, and OTS5 (P > 0.05),while the prognosis of patients with OTS1 and OTS2 was better than OTS study (P=0.001, 0.007, respectively).
Badminton-related closed-globe injuries were more frequent; open-globe injuries were usually more serious. Younger and female patients have poorer visual recovery prognoses. OTS was found to be a reliable tool for predicting visual outcomes.
描述羽毛球运动中眼外伤的临床特征、视力结果、处理方法和并发症，并探讨与视力损害相关的危险因素。
收集 2018 年 1 月至 2020 年 12 月复旦大学附属眼耳鼻喉科医院眼科收治的因打羽毛球致伤的患者资料。分析视力（VA）与人口统计学和临床变量之间的关系。根据患者的需求进行药物或手术治疗，至少随访 18 个月。使用眼外伤评分（OTS）预测视力结果，使用统计学检验比较预测结果与实际结果。
本研究共纳入 102 例（78 名男性，24 名女性）患者，平均年龄 43.8±16.1 岁（7-71 岁）。其中 93 例为闭合性眼球损伤，9 例为开放性眼球损伤。视力威胁性表现包括晶状体半脱位（31.4%）、视网膜脱离（13.7%）、前房积血（12.7%）。开放性眼球损伤的初始 VA 和最终 VA 显著更低（P=0.0164，0.0053）。最终 VA 与初始 VA、黄斑病变、视网膜脱离和 OTS 相关（P=0.0000，0.0494，0.0001，0.0000），20 岁以下和女性患者的最终 VA 更差。OTS3、OTS4 和 OTS5 时，OTS 预测与术后实际视力结果无显著差异（P>0.05），而 OTS1 和 OTS2 患者的预后优于 OTS 研究（P=0.001，0.007）。
羽毛球相关的闭合性眼球损伤更为常见，开放性眼球损伤通常更严重。年轻和女性患者的视力恢复预后较差。OTS 是预测视力结果的可靠工具。
