Journal List > J Korean Ophthalmol Soc > v.49(10) > 1008109

Choi and Shin: Epidemiology of Leisure Sports-Related Ocular Trauma

Abstract

Purpose

We investigated the epidemiological and clinical characteristics of leisure activity- and sports-related ocular trauma for application to its treatment and prevention.

Methods

A retrospective chart review was conducted on 121 patients who visited Gachon University Gil Medical Center from January 2006 to December 2007 because of leasure activity- and sports-related ocular trauma. The incidence of ocular injuries, sex and age, monthly and seasonal distribution, causes, diagnosis, and visual acuity were reviewed.

Results

Among the 1592 patients of ocular trauma, 121 patients (7.6%) were related to leasure activity- and sports. The incidence was higher in males (81.8%; 4.5-fold) than in females. The mean age of patients was 23.7±7.1 years. Ocular injuries occurred least in winter (19.8%) and occurred more during the week than on weekends (1.6-fold). The most common cause was soccer (39.7%), more specifically being hit with the soccer ball (47.1%). The initial LogMAR visual acuity was worse in the females and in the patients older than 30 years. Traumatic hyphema (19.7%) was the most common cause of visual disturbance, and corneal erosion (11.3%) occurred frequently.

Conclusions

Leasure activity- and sports-related ocular trauma is becoming an increasingly significant cause of ocular morbidity, and trends relating to characteristics such as sex and age were found. These outcomes can be put to practical use in the prevention and treatment of sports-relatedocular injuries.

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Table 1.
Age and sex distribution of patients with leisure activity- and sports-related ocular injuries
Age Number of patients (%)
Male (%) Female (%) Total (%)
≤ 9 9 (9.1) 3 (13.6) 12 (9.9)
10-19 39 (39.4) 5 (22.7) 44 (36.4)
20-29 22 (22.2) 2 (9.1) 24 (19.8)
30-39 18 (18.2) 4 (18.2) 20 (16.5)
40-49 7 (7.1) 3 (13.6) 10 (8.3)
50-59 5 (5.1) 2 (9.1) 7 (5.8)
≥ 60 0 (0) 3 (13.6) 3 (2.5)

Total 99 (81.8) 22 (18.2) 121 (100)
Table 2.
Affected side in leisure activity- and sports-related ocular injuries
Side of eyes Number of patients (%)
Right eye 63 (52.1)
Left eye 58 (47.9)

Total 121 (100)
Table 3.
Seasonal and monthly distribution of patients with leisure activity- and sports-related ocular injuries
Month Number of patients (%) Season Total (%)
3 4 (3.3)
4 17 (14.0) Spring 30 (24.8)
5 9 (7.4)
6 14 (11.6)
7 11 (9.1) Summer 31 (25.6)
8 6 (5.0)
9 13 (10.7)
10 15 (12.4) Autumn 36 (29.8)
11 8 (6.6)
12 8 (6.6)
1 7 (5.8) Winter 24 (19.8)
2 9 (7.4)

Total 121 (100) 121 (100)
Table 4.
Distribution of days of week in leisure activity- and sports-related ocular injuries
Days of week Number of patients (%)
Monday 16 (13.2)
Tuesday 15 (12.4)
Wednsday 8 (6.6)
Thursday 11 (9.1)
Friday 13 (10.7)
Saturday 21 (17.4)
Sunday 27 (22.3)

Total 121 (100)
Table 5.
Events of leisure activity- and sports-related ocular injuries
Events Number of patients (%)
Soccer 48 (39.7)
Badminton 13 (10.7)
Basketball 10 (8.3)
Squash 8 (6.6)
Paintball 8 (6.6)
Combative sport 6 (5.0)
Baseball 4 (3.3)
Bicycle 3 (2.5)
Inline skates 3 (2.5)
Others 18 (14.8)

Total 121 (100)
Table 6.
Means of leisure activity- and sports-related ocular injuries
Vectors Number of patients (%) Number of patients (%)
Ball 57 (47.1) Soccer 37 (30.6)
Shuttlecock 10 (8.2)
Squash 6 (5.0)
Baseball 4 (3.3)
Body 44 (36.4) Head 18 (14.9)
Elbow 11 (9.1)
Hand 8 (6.6)
Leg 7 (5.8)
Instrument 4 (3.4) Badminton rocket 2 (1.7)
Squash racket 2 (1.7)
Others 16 (13.1) 19 (13.1)

Total 121 (100) 121 (100)
Table 7.
Nature of leisure activity- and sports-related ocular injuries
Types of ocular injuries Number of patients (%)
Eyelid Contusion 91 (25.0)
Laceration 4 (1.1)
Conjunctiva Hemorrhage 79 (21.7)
Laceration 1 (0.3)
Cornea Erosion 41 (11.3)
Laceration 2 (0.6)
Sclera Laceration 2 (0.6)
Anterior chamber Hyphema 72 (19.7)
Iris Iridodialysis 2 (0.6)
Lens Traumatic cataract 3 (0.8)
Vitreous Hemorrhage 3 (0.8)
Retina Commotio 16 (4.4)
Hemorrhage 3 (0.8)
Detachment 1 (0.3)
Orbit Blowout fracture 44 (12.0)

Total 364 (100)
Table 8.
Distribution of inpatients according to age and sex
Male Female Total
≤ 29 36 3 39
≥ 30 18 5 23

Total 54 8 62
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