Lauga Alexis, Maguire Adam, Muqit Mahi
School of Clinical Medicine, University of Cambridge, Cambridge, GBR.
Academy Medical Department, Tottenham Hotspur Football Club, London, GBR.
Cureus. 2024 Oct 17;16(10):e71677. doi: 10.7759/cureus.71677. eCollection 2024 Oct.
This case describes an 18-year-old British male professional soccer player who suffered a high-velocity traumatic eye injury when a football struck him in the right eye. He suffered immediate vision loss and pain. The eye trauma resulted in pupil damage, lens structural damage, retinal tears, a macular hole, and extensive retina commotio. Despite being a seemingly innocuous training accident, he developed a complex monocular trauma. He underwent emergency surgery that successfully closed the macular hole and prevented retinal detachment. Visual recovery in the right eye was not perfect; however, the player was able to make a full return to training within six weeks and play competitive football within eight weeks. This exemplifies a rare case in which a routine, everyday training ground event resulted in a highly complex ocular injury. Our case highlights that rapid assessment and intervention can prevent life-changing long-term effects on an athlete's health, performance, and career, even in sports deemed to pose a relatively low risk of ocular injury, such as soccer.
本病例描述了一名18岁的英国男性职业足球运动员,他在右眼被足球击中时遭受了高速外伤性眼损伤。他立即出现视力丧失和疼痛。眼外伤导致瞳孔损伤、晶状体结构损伤、视网膜裂孔、黄斑裂孔以及广泛的视网膜震荡。尽管这看似是一起无害的训练事故,但他却患上了复杂的单眼外伤。他接受了紧急手术,成功封闭了黄斑裂孔并预防了视网膜脱离。右眼的视力恢复并不完美;然而,该运动员能够在六周内完全恢复训练,并在八周内参加有竞争力的足球比赛。这是一个罕见的案例,即日常训练场上的常规事件导致了高度复杂的眼损伤。我们的案例强调,即使在被认为眼部受伤风险相对较低的运动项目(如足球)中,快速评估和干预也可以预防对运动员的健康、表现和职业生涯产生改变人生的长期影响。