Doubles trouble-85 cases of ocular trauma in badminton: clinical features and prevention

ObjectivesTo describe ocular injuries caused by badminton and to explore the implications for future prevention strategies.MethodsWe enrolled 85 patients with ocular trauma caused by badminton. Information collected from patients included type of game, instigator, instrument of injury and lessons in badminton from a professional, and ocular trauma information such as type of injury, treatment and final outcomes.ResultsThe 85 patients (52 men, 33 women) were aged 15–65 years with an average age of 42.9 (±10.7) years. In 60 cases the player was hit by a shuttlecock and in 25 the player was hit by a racquet. 73 cases occurred in doubles matches and 10 in singles matches. In 31 cases the trauma was caused by an opponent and in 52 cases by a partner; 2 cases involved bystanders, not players. About 70% (43/61) of the injured and 82% (40/49) of the instigators had not received badminton lessons from a professional. 80 injuries were non-penetrating and 5 were penetrating. There were 58 cases with hyphaema, 36 with secondary glaucoma, 23 with lens subluxation and 2 with retinal detachment. Surgery comprised phacoemulsification or lensectomy and vitrectomy in 16 cases, silicone oil tamponade in 2 cases, trabeculectomy in 3 cases and direct cyclopexy in 5 cases.ConclusionThe vast majority of the badminton related eye injuries occurred among doubles players and were instigated by the injured person’s partner. Non-penetrating injury was more frequent; penetrating injury was usually more serious. We recommend that badminton players use protective eyewear and receive safety education and professional coaching/instruction on techniques to protect against serious eye injuries.

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Risk Factors for Trauma-Related Eviscerations: Analysis of 821 Cases

Journal of Ophthalmology ◽

10.1155/2019/6198368 ◽

2019 ◽

Vol 2019 ◽

pp. 1-6

Author(s):

Zhaoxin Jiang ◽

Yao Yang ◽

Yujie Li ◽

Miner Yuan ◽

Cheng Li ◽

...

Keyword(s):

Ocular Trauma ◽

Silicone Oil ◽

Demographic Data ◽

Management Strategies ◽

Study Data ◽

Ocular Injury ◽

Day Case ◽

The Past ◽

Case Surgery ◽

Silicone Oil Tamponade

Evisceration is the end therapeutic approach for the treatment of severe ocular trauma cases, and it is a tremendous loss for patients. In this study, we explored the changing trends in the number of surgeries performed, demographic data and ocular features, and risks for early evisceration, aiming to provide more data for the additional prevention and management strategies for this catastrophic problem. This was a retrospective study that included patients who underwent ocular evisceration at the Zhongshan Ophthalmic Center between January 2013 and December 2017. A total of 1229 evisceration cases were reviewed, and only trauma-related eviscerations were analyzed. Etiology, demographic data, ocular features, and hospitalization time were evaluated. The total number of trauma-related eviscerations recorded in the past five years was 821 cases. The number of surgeries performed was almost constant each year (164 ± 17 cases); 35% of the patients were less than ten years old at the time of the original ocular injury and 69% of them were male. Endophthalmitis led to significantly early evisceration compared with cases without endophthalmitis (P<0.05). The group with a history of silicone oil tamponade showed a significantly longer surgical interval between trauma and evisceration than did the nonsilicone oil tamponade group (P<0.05). Day-case hospitalization for evisceration increased from 0% to 32% over the past five years. The results of the present study show that the number of ocular trauma-related eviscerations performed in the past five years was almost unchanged and boys under ten are highly susceptible. This study also demonstrates that endophthalmitis leads to significantly early evisceration, and silicone oil tamponade may postpone ocular atrophy. Based on the study data, day-case surgery is safe for evisceration management.

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Sparking the Debate: Facial Injury Patterns from Fireworks

Facial Plastic Surgery ◽

10.1055/s-0040-1714116 ◽

2020 ◽

Vol 36 (05) ◽

pp. 659-664

Author(s):

Neil Ketan Mehta ◽

Brandon Cowan ◽

Houmehr Hojjat ◽

Jared Johnson ◽

Michael Thomas Chung ◽

...

Keyword(s):

Clinical History ◽

Patient Characteristics ◽

Facial Injury ◽

Injury Patterns ◽

Eye Injuries ◽

Injury Surveillance System ◽

Safety Regulations ◽

Valuable Adjunct ◽

Protective Eyewear ◽

Type Of Injury

AbstractThe objective of this article is to estimate the incidence, injury patterns, and demographics of patients presenting to emergency departments (EDs) for facial injury sustained from fireworks. This was an analysis of a nationwide database. The National Electronic Injury Surveillance System (NEISS) was evaluated for facial injuries from fireworks from 2013 to 2017. Relevant entries were examined for incidence, patient characteristics, location of injury, and type of injury. There were 509 NEISS entries, extrapolating to an estimated 19,816 ED visits for head and neck injuries due to fireworks from 2013 to 2017. The number of visits per year due to fireworks has been relatively stable over the past 5 years with an average of 3,963 cases per year. Greater than 90% of injuries occurred in July. Males comprised the majority of patients (67%), with the median age of 16 years. Most common sites of injury were the eyeballs (41%), followed by midface including eyelids, periorbita, and nose (31%), ears (12%), and only minor incidence of oral injuries (2%). After burns, contusions were the second most common injury from fireworks, followed by lacerations and foreign body injuries. The majority of firework injuries occurred in teenagers, reinforcing the importance of greater safety regulations and age limits for purchasing fireworks. Nearly half the incidents were eye injuries, necessitating greater public education in protective eyewear and mandating their use during festive holidays. Furthermore, injury patterns reported in this analysis may serve as a valuable adjunct for enhancing clinical history taking and physical examination to look for concurrent injuries.

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Validation of a modified Birmingham Eye Trauma Terminology classification for mechanical eye injuries

Trauma ◽

10.1177/1460408617715488 ◽

2017 ◽

Vol 20 (3) ◽

pp. 217-220 ◽

Cited By ~ 1

Author(s):

Mehul Shah ◽

Shreya Shah ◽

Rupesh Agrawal ◽

Kashyap Patel

Keyword(s):

Cohort Study ◽

Foreign Body ◽

Ocular Trauma ◽

Eye Injuries ◽

Eye Trauma ◽

Globe Rupture ◽

Wide Range ◽

The World ◽

Type Of Injury

Introduction Criticisms have been levelled at the widely accepted Birmingham Eye Trauma Terminology (BETT) classification of mechanical ocular trauma, as it is not specific enough. Alternative modifications to the BETT have been proposed and this study aimed to assess these newer classifications. Methods A prospective cohort study of all patients presenting to the outpatient department between January 2005 and December 2014, who were examined and categorised based on the BETT. Cases which did not comply with the BETT system were placed in additional categories, and documented for each type of injury. Results A total of 4721 eyes suffered mechanical injuries and 1060 (22.4%) could not be classified with BETT, including 368 globe injuries (7%) associated with orbital/ocular adnexa injury; 692 eyes (14.6%) with ocular surface foreign body (OSFB) or ocular wall foreign body (IWFB). There were 77 eyes (1.6%) with contusion, 9 eyes (0.19%) with lamellar laceration-associated OSFB or OWFB, 29 eyes (0.6%) with globe rupture-associated OSFB, OWFB or intraocular foreign body (IOFB) and 60 eyes (1.4%) with laceration-associated OSFB or OWFB. Conclusion The BETT needs modification to be fully applicable to the wide range of ocular trauma seen across the world.

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Clinical Features and Surgical Outcomes of Pediatric Ocular Trauma in Southwest of China

10.21203/rs.2.71/v1 ◽

2018 ◽

Author(s):

Yan He ◽

Songwen Nian ◽

Nan Wu ◽

Yi Wang ◽

Tao Yu ◽

...

Keyword(s):

Surgical Outcomes ◽

Ocular Trauma ◽

Silicone Oil ◽

Prognostic Indicator ◽

Penetrating Injury ◽

Predisposing Factor ◽

Female Ratio ◽

Open Globe ◽

Pediatric Ocular Trauma ◽

Open Globe Injuries

Abstract Background: Ocular trauma is one of the major threats of monocular blindness in children. The purpose of the study was to investigate the epidemiology, clinical characteristics and surgical outcomes of pediatric ocular trauma in southwest of China. Methods: The medical records of all patients with ocular trauma under 12 years old receiving three-port pars plana vitrectomy (PPV) in Southwest Eye Hospital from January 2007 to December 2017 were retrospectively analyzed in this study. Data records included age, gender, cause, type and time of injury, initial and final visual acuity (VA), type and times of operation. Results: This study included 122 eyes of 122 pediatric patients over a 11-year period. The mean age was 6.6 ± 3.2 years with a male-to-female ratio of 4.3:1. There were 100 (82%) open globe injuries (OGI) and 22 (18%) closed globe injuries. Of the open globe injuries, penetrating injury caused by sharp metal objects accounted for the highest percentage (70%). PPV could significantly improve VA in children with ocular trauma (P ˂ 0.01). In addition, the successful rate of PPV was not related with the age (P = 0.23) but significantly associated with intraocular tamponade (P < 0.05). Conclusions: The most common predisposing factor of pediatric ocular trauma in southwest of China was sharp metal objects resulting in penetrating injury. In our study, gas tamponade for vitrectomy had the highest successful rate, followed by balanced salt solution (BSS) and silicone oil. Unlike the age and injury classification, the preoperative VA was a solid prognostic indicator of postoperative vision.

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Successful Management in a Case of Traumatic Retinal Detachment due to Open Globe Injury Using Microincisional Vitrectomy

Case Reports in Ophthalmology ◽

10.1159/000450638 ◽

2016 ◽

Vol 7 (3) ◽

pp. 476-480 ◽

Cited By ~ 1

Author(s):

Wei-Yu Lai ◽

Tsung-Tien Wu

Keyword(s):

Retinal Detachment ◽

Ocular Trauma ◽

Silicone Oil ◽

Medical Center ◽

Primary Repair ◽

Surgical Techniques ◽

Open Globe Injury ◽

Open Globe ◽

Silicone Oil Tamponade

Background: Retinal detachment (RD) following ocular trauma often results in guarded visual prognosis and sometimes leads to loss of the eye. With the advent of microincisional vitrectomy surgery and the development of surgical techniques, the management of ocular trauma has been transformed. Case Presentation: A 34-year-old man sustained an open globe injury from fragmented glass at work. He received primary repair and another follow-up surgery 9 days later, including vitrectomy, silicone oil tamponade, and lensectomy for RD and traumatic cataract at another medical center. However, his retina was totally detached and completely curled up in a roll with choroid on display when he was seen by us 1 month later. He was managed with vigilant and patient peeling and unfolding of the retina using a 23-gauge forceps and silicone oil tamponade, and achieved anatomical success and preservation of his eye at 6-month follow-up. Conclusions: This report demonstrates that even in cases which appear to be hopeless at presentation, the surgeon’s perseverance and surgical technique can salvage an eye that may otherwise be phthisical. It also encourages retinal surgeons to use microincisional vitrectomy to manage severe traumatic RD.

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Description of Main Predictors for Taking Sick Leave Associated with Work-Related Eye Injuries in Spain

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18105157 ◽

2021 ◽

Vol 18 (10) ◽

pp. 5157

Author(s):

Sergio Martín-Prieto ◽

Cristina Alvarez-Peregrina ◽

Israel Thuissard-Vassallo ◽

Carlos Catalina-Romero ◽

Eva Calvo-Bonacho ◽

...

Keyword(s):

Sick Leave ◽

Older Workers ◽

Descriptive Study ◽

Labor Cost ◽

Eye Injury ◽

Eye Injuries ◽

Work Related ◽

Younger Workers ◽

Initial Injury ◽

Type Of Injury

Recent studies in Spain have shown that males, younger workers, and people involved in manual jobs had the highest risk of suffering a work-related eye injury (WREI). This study aims to assess the predictors of sick leave associated with WREI and to compare them with risk factors of initial injury. A retrospective and descriptive study of WREI that causes sick leave of one or more days among workers from an insurance labor mutual company in Spain was conducted over a period from 2008 to 2018. The variables of the study were sex, age, occupation, and type of injury. A total of 9352 (18.6% of 50,265 WREI) cases and 113,395 total days of sick leave were observed, with an estimated EUR 4,994,009.59 of associated labor cost. The main predictors of sick leave related to WREI were found to be female (highest incidence; 25.9 (95% CI (24.8–27.1))), >55 years of age (highest incidence; 20.5 (95% CI (19.3–21.7))), not working in the industry (lowest incidence; 13.8 (95% CI (13.3–14.2))), and not suffering “other disorders of conjunctiva” (lowest incidence; 5.7 (95% CI (4.7–6.8))). The consequences associated with WREI are worse for female and older workers, despite the main risk of suffering WREI being observed in males and younger workers.

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