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Fumiki Okamoto, Shohei Morikawa, Yoshifumi Okamoto, Tetsuro Oshika; Clinical characteristics and visual outcomes of sport-related open globe injuries. Invest. Ophthalmol. Vis. Sci. 2018;59(9):2311.
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To investigate the clinical characteristics and visual outcomes of patients with sport-related open globe injuries, and to evaluate the difference between sport-related open globe injuries and non-sport-related open globe injuries.
Patients with sport-related open globe injuries and patients with non-sport-related open globe injuries who presented to hospitals belonging to the Japan-Clinical Research of Study (J-CREST) group from 2005 to 2015 were enrolled as subjects. Clinical information including age, gender, initial visual acuity, type of open globe injury, retinal detachment, proliferative vitreoretinopathy, endophthalmitis, wound location and length, final visual acuity, and type of sports was evaluated.
Overall, 343 patients with open globe injuries were enrolled, of whom 13 were sport-related. Of the 13 patients, 6 (46.2%) presented with rupture and 7 (53.8%) with laceration. They were caused by golf (38.4%), fishing (38.4%), and the others (baseball, surfing, and gymnastics). The final visual acuity was significantly associated with the wound length (p < 0.01) and the presence of retinal detachment (p < 0.05). Eyes with sport-related open globe injuries were associated with younger age (p < 0.05) and the presence of endophthalmitis (p < 0.005) in comparison with eyes with non-sport-related open globe injuries. There was no difference in final visual acuity between the two groups.
Golf and fishing accounted for a majority of the causes of sport-related open globe injuries. Visual outcomes in patients with sport-related open globe injuries were related to the wound length and complicated retinal detachment. Compared to eyes with non-sport-related open globe injuries, eyes with sport-related open globe injuries were found to be associated with younger age and the presence of endophthalmitis.
This is an abstract that was submitted for the 2018 ARVO Annual Meeting, held in Honolulu, Hawaii, April 29 - May 3, 2018.
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