Wedrich A, Velikay M, Binder S, Radax U, Stolba U, Datlinger P
Retinal Department I, University Eye Hospital, Vienna, Austria.
Retina. 1993;13(2):114-9. doi: 10.1097/00006982-199313020-00004.
A group of 25 active, asymptomatic, amateur boxers were examined to evaluate the nature and incidence of ocular pathologic conditions in amateur boxing. An approximately age-matched group of 25 men who were not boxers was used as a control group. The number of fights varied from 1 to 220 (mean 39.4), and the number of spar rounds from 20 to 600 (mean 192.5). Visual acuity was 20/20 in all subjects of both groups, except for one boxer with keratoconus. Intraocular pressure was below 20 mmHg in all eyes. In 19 (76%) boxers, pathologic anatomic findings were attributed to contusion trauma. Lesions of the anterior eye segment included injuries of the lid in 3 eyes (12%), angle abnormalities in 5 (20%), and slight lens opacities in 5 (20%). Posterior vitreous detachment was observed in 3 (12%) boxers and peripheral retinal scars were seen in 15 (60%). In 6 (24%) eyes, retinal tears or atrophic holes were detected. In the 7 (28%) boxers with lesions of the anterior eye segment, the posterior segment was also affected in 6 (85%). In the control group, an atrophic hole was found in one (4%) patient with no other ocular pathologic findings.(ABSTRACT TRUNCATED AT 250 WORDS)
对25名活跃、无症状的业余拳击手进行了检查，以评估业余拳击运动中眼部病理状况的性质和发生率。选取了25名年龄大致匹配的非拳击手男性作为对照组。拳击比赛场次从1场到220场不等（平均39.4场），对练回合数从20回合到600回合不等（平均192.5回合）。两组所有受试者的视力均为20/20，但有一名拳击手患有圆锥角膜。所有眼睛的眼压均低于20 mmHg。在19名（76%）拳击手中，病理解剖学发现归因于挫伤。眼前节病变包括3只眼（12%）的眼睑损伤、5只眼（20%）的房角异常和5只眼（20%）的轻度晶状体混浊。3名（12%）拳击手观察到玻璃体后脱离，15名（60%）拳击手可见周边视网膜瘢痕。在6只眼（24%）中检测到视网膜裂孔或萎缩性裂孔。在7名（28%）眼前节有病变的拳击手中，6名（85%）的眼后节也受到影响。在对照组中，1名（4%）患者发现有一个萎缩性裂孔，无其他眼部病理发现。（摘要截选至250字）
