Ruiz Department of Ophthalmology and Visual Science, McGovern Medical School at the University of Texas Health Science Center at Houston, 6400 Fannin Street, Suite 1800, Houston, TX 77030, United States.
Ruiz Department of Ophthalmology and Visual Science, McGovern Medical School at the University of Texas Health Science Center at Houston, 6400 Fannin Street, Suite 1800, Houston, TX 77030, United States.
Injury. 2024 May;55(5):111504. doi: 10.1016/j.injury.2024.111504. Epub 2024 Mar 16.
To describe the mechanisms and visual outcomes of recreational and sports-related open globe injuries (OGIs).
A retrospective case series of eyes experiencing OGI secondary to recreational and sports-related activities at Memorial Hermann Hospital - Texas Medical Center (MHH-TMC) from January 1st, 2010 through March 31st, 2015 was conducted. Exclusionary criteria included no documented ophthalmologic examination upon presentation and repairs performed by services other than ophthalmology. A two-tailed t-test and Fisher's exact test were utilized to assess for statistical significance (p < 0.05).
A total of 20 eyes from 20 patients experiencing OGIs secondary to recreational and sports-related activities were included. Thirteen eyes (65 %) presented with OGIs from penetrating objects while seven eyes (35 %) had injuries from blunt injuries. Males comprised most of the total study group (17 of 20 patients), and zone 3 injuries were the most common location of OGI. While eyes with OGIs from blunt trauma underwent evisceration/enucleation procedures more frequently than OGIs from penetrating mechanisms (71% vs 23 %) (p = 0.10), the final visual outcomes were similarly poor between groups. Only three eyes in this series experienced an improvement from baseline VA; all three eyes had lacked initial findings consistent with severe injury.
Recreational and sports related OGIs most commonly occur in zone 3 and in young males, regardless of injury type. OGIs due to both penetrating and blunt trauma mechanisms implicate poor functional outcomes, but the absence of certain presenting injury features may indicate possibility of eventual visual recovery.
描述与娱乐和运动相关的开放性眼球损伤（OGI）的机制和视力结果。
对 2010 年 1 月 1 日至 2015 年 3 月 31 日期间在 Memorial Hermann 医院-德克萨斯医学中心（MHH-TMC）因娱乐和运动相关活动导致 OGI 的眼部进行回顾性病例系列研究。排除标准包括就诊时无记录的眼科检查和非眼科服务进行的修复。使用双尾 t 检验和 Fisher 确切检验评估统计学意义（p<0.05）。
共纳入 20 例 20 只眼因娱乐和运动相关活动导致的 OGI。13 只眼（65%）因穿透性物体导致 OGI，7 只眼（35%）因钝性损伤导致 OGI。男性构成了总研究组的大多数（20 例患者中的 17 例），并且 zone 3 损伤是 OGI 最常见的位置。虽然来自钝性创伤的 OGI 比来自穿透性机制的 OGI 更频繁地进行眼内容剜除/眼球摘除手术（71%比 23%）（p=0.10），但两组之间的最终视力结果相似。在这个系列中只有 3 只眼的视力从基线 VA 有所改善；所有 3 只眼均缺乏最初与严重损伤一致的发现。
无论损伤类型如何，娱乐和运动相关的 OGI 最常发生在 zone 3 和年轻男性中。由穿透性和钝性创伤机制引起的 OGI 暗示功能结果不佳，但某些初始损伤特征的缺失可能表明最终视力恢复的可能性。
