Mieler W F, Nanda S K, Wolf M D, Harman J
Vitreoretinal Section, Medical College of Wisconsin, Milwaukee, USA.
Arch Ophthalmol. 1995 Nov;113(11):1410-3. doi: 10.1001/archopht.1995.01100110070027.
To review golf-related ocular injuries, which account for 1.5% to 5.6% of all sports injuries.
During 8 years (1986 to 1994), a retrospective review of sports-related trauma was performed at the Medical College of Wisconsin, Milwaukee. Eight blunt ocular injuries (four ruptured globes and four globes without rupture) caused by golf-related activities were identified. The four ruptured globes caused by golf-related trauma accounted for 1.2% of all penetrating injuries and/or ruptured globes and 11.7% of sports-related injuries.
A golf ball projectile was the mechanism of injury in six patients, while two patients were struck with a gold club. The four patients with ruptured globes had an initial visual acuity of light perception or worse, and three globes were subsequently enucleated, while one was prephthisic. In the four trauma cases without rupture, surgical intervention was required to achieve anatomic stability, with final visual acuities ranging from 20/25 to 20/40.
The incidence of ocular injuries caused by golf-related trauma is low compared with that for other sports-related injuries. Although the prognosis for ruptured globes occurring in this setting remains extremely guarded, blunt trauma without rupture caused by a golf-related injury is associated with a more favorable visual and anatomic outcome.
回顾与高尔夫运动相关的眼外伤，此类眼外伤占所有运动损伤的1.5%至5.6%。
在8年期间（1986年至1994年），对威斯康星医学院密尔沃基分校的运动相关创伤进行了回顾性研究。确定了8例由高尔夫相关活动导致的钝性眼外伤（4例眼球破裂，4例眼球未破裂）。由高尔夫相关创伤导致的4例眼球破裂占所有穿透性损伤和/或眼球破裂的1.2%，占运动相关损伤的11.7%。
6例患者的致伤机制为高尔夫球撞击，2例患者被高尔夫球杆击中。4例眼球破裂患者的初始视力为光感或更差，3例眼球随后被摘除，1例眼球萎缩。在4例未破裂的创伤病例中，需要进行手术干预以实现解剖学稳定性，最终视力范围为20/25至20/40。
与其他运动相关损伤相比，高尔夫相关创伤导致的眼外伤发生率较低。尽管在这种情况下发生眼球破裂的预后仍然极其谨慎，但高尔夫相关损伤导致的未破裂钝性创伤与更有利的视力和解剖学结果相关。
