Pickel Lauren, Cruz Pimentel Miguel, Naidu Sumana, Devenyi Robert G, Mandelcorn Efrem, Yan Peng
Temerty Faculty of Medicine, University of Toronto, Toronto, ON, Canada.
Department of Ophthalmology and Vision Sciences, University of Toronto, Toronto, ON, Canada.
Case Rep Ophthalmol. 2024 Sep 12;15(1):689-695. doi: 10.1159/000540878. eCollection 2024 Jan-Dec.
Anecdotal reports and limited reports suggest a possible link between activities involving rapid acceleration and retinal detachment. We present two novel such cases and review existing literature to investigate the plausibility of this association and delineate in what populations such an association may be more likely.
We report 2 cases of retinal detachment following roller coaster riding. The first, a 24-year-old woman with a family history of retinal detachment, presented with floaters after consecutive rides and was found to have an inferior temporal macula-sparing retinal detachment with associated retinal breaks. The second case, a 25-year-old female with a history of high myopia, presented with visual field defect and was found to have a macula-on retinal detachment with an accompanying tear at the edge of an area of lattice degeneration. Both were successfully treated with pneumatic retinopexy followed by laser retinopexy.
Rapid acceleration/deceleration forces, such as those experienced on roller coasters, could potentially lead to retinal detachment. Structural predisposition is likely necessary for acceleration/deceleration injury to lead to retinal detachment, with all known cases having risk factors, including high myopia and positive family history. These same forces in eyes without structural predisposition have resulted in hemorrhage, but not detachment.
轶事报道和有限的报告表明，涉及快速加速的活动与视网膜脱离之间可能存在联系。我们呈现两例此类新病例，并回顾现有文献，以研究这种关联的合理性，并确定在哪些人群中这种关联可能更有可能出现。
我们报告了2例过山车乘坐后发生视网膜脱离的病例。第一例，一名有视网膜脱离家族史的24岁女性，在连续乘坐过山车后出现飞蚊症，被发现有颞下黄斑保留的视网膜脱离，并伴有视网膜裂孔。第二例，一名有高度近视病史的25岁女性，出现视野缺损，被发现有黄斑未脱离的视网膜脱离，在格子样变性区域边缘伴有裂孔。两例均成功接受了气体视网膜固定术，随后进行了激光视网膜固定术。
快速加速/减速力，如在过山车上所经历的，可能会导致视网膜脱离。加速/减速损伤导致视网膜脱离可能需要结构易感性，所有已知病例都有危险因素，包括高度近视和家族史阳性（家族遗传史）。在没有结构易感性的眼睛中，同样的力会导致出血，但不会导致脱离。
