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>Sport-related eye trauma study: Five-year audit of sport-related ocular injuries at a tertiary eye hospital in Australia (2015-2020)
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Sport-related eye trauma study: Five-year audit of sport-related ocular injuries at a tertiary eye hospital in Australia (2015-2020)
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机译：Sport-related eye trauma study: Five-year audit of sport-related ocular injuries at a tertiary eye hospital in Australia (2015-2020)
Aim: To examine outcomes of sport-related ocular injuries in an Australian tertiary eye hospital setting. Methods: Retrospective audit from the Royal Victorian Eye and Ear Hospital from 2015-2020. Patient demographics, diagnosis, injury causation, visual acuity (VA), intra-ocular pressure, and management were recorded. Results: A total of 1793 individuals (mean age 28.7 years; 80.4 males and 19.6 females) were included. The top three injury-causing sports were soccer (n = 327, 18.2), Australian Rules Football (AFL) (n = 306, 17.1) and basketball (n = 215, 12.0). The top three injury mechanisms were projectile (n = 976, 54.4), incidental body contact (n = 506, 28.2) and sporting equipment (n = 104, 5.8). The most frequent diagnosis was traumatic hyphaema (n = 725). Best documented VA was ≥6/12 at baseline in 84.8 and at follow-up in 95.0 of cases. Multivariate logistic regression showed that the greatest risk of globe rupture was associated with martial arts (odds ratio OR 16.2); orbital blow-out fracture with skiing (OR 14.4); hyphaema with squash (OR 4.2); and retinal tears with foam dart projectiles (OR 5.6) -p < 0.05 for all. Topical steroids were the most common non-surgical treatment (n = 693, 38.7). CT orbits and facial bones were the most common investigation (n = 184, 10.3). The mean baseline intra-ocular pressure in the injured eye was 16.1 mmHg; n = 103 (5.7) cases required topical anti-ocular hypertensive medication. Twenty-seven (1.5) individuals were admitted to hospital and n = 26 (1.5) required surgery. AFL contributed the most surgical cases (n = 5, 19.2). Conclusion: The top three ocular injury causing sports were soccer, AFL, and basketball. The most frequent injury was traumatic hyphaema. Projectiles posed the greatest risk.
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