Elsevier

Survey of Ophthalmology

Volume 41, Issue 3, November–December 1996, Pages 229-244
Survey of Ophthalmology

Public health and the eye
Eye injuries in athletics and recreation,☆☆

https://doi.org/10.1016/S0039-6257(96)80025-7Get rights and content

Abstract

Sports-related eye injuries represent a significant eye health hazard worldwide. In the USA, it is estimated that eye injuries from sports account for more than 100,000 physician visits per year at the cost of greater than $175 million. The sports responsible for the greatest number of injuries are baseball, ice hockey, and racquet sports. In the USA there are over 189 million participants in these sports with a disproportionate number (one-third) of injuries involving the pediatric population. The most common injuries are abrasions and contusions, followed by more serious injuries, including hyphema. Substantial reduction in the incidence of eye injuries through prevention has been demonstrated in the sport of hockey which can serve as a model for other sports. Specific criteria for protective eyewear must be developed. Polycarbonate plastic lenses and frames which are sturdy and impact resistant provide optimal protection. Lensless goggles, street wear and spectacle correction glasses do not provide adequate eye protection. The opthalmologist's role in preventing sports-related eye injuries includes addressing particular sports participants needs, identifying one-eyed athletes, and informing patients of the need for protective eyewear.

References (70)

  • GE Brown

    Survey released to House Science Committee, United States House of Representatives

    (February 12, 1993)
  • RC Cantu

    How to Make Professional Boxing Safer

  • RC Cantu

    Medicine's Stand on Boxing in the 20th Century

  • LS Caveness

    Ocular and facial injuries in baseball

    Int Ophthalmol Clin

    (1988)
  • JG Classe'

    Legal aspects of sports-related ocular injuries

    Int Ophthalmol Clin

    (1988)
  • JK Davis

    Perspectives on impact resistance and polycarbonate lenses

    Int Ophthalmol Clin

    (1988)
  • JP Difiori

    Sports-related traumatic hyphema

    Am Fam Physician

    (1992)
  • M Easterbrook

    Eye protection in racket sports: an update

    The Physician and Sports Medicine

    (1987)
  • M Easterbrook

    Ocular injuries in racquet sports

    Int Ophthalmol Clin

    (1988)
  • M Easterbrook et al.

    Ocular injuries and war games

    Int Ophthalmol Clin

    (1988)
  • C Enger et al.

    Case control study of ocular air-gun injuries (abstract)

    Invest Ophthalmol Vis Sci

    (1994)
  • RW Enzenauer et al.

    Boxing-related ocular injuries in the United States Army, 19890 to 1985

    Southern Medical Journal

    (1989)
  • AS Farber

    Preventing eye injuries: What to tell patient

    Postgrad Med

    (1991)
  • FIMS Position Statement: Eye injuries and eye protection in sports

    Br J Sports Med

    (1988)
  • TR Fountain et al.

    The histopathology of sports-related ocular trauma, 1980–1986

    Int Ophthalmol Clin

    (1988)
  • MT Genovese et al.

    Eye injuries among pennant squash players and their attitudes towards protective eyewear

    Med J Aust

    (1990)
  • VJ Giovinazzo et al.

    Eye Injuries

  • VJ Giovinazzo et al.

    Eye injuries

  • V Hogdson

    The eye and sports medicine

  • JB Jeffers

    The role of organized ophthalmology in preventing ocular injuries

    Int Ophthalmol Clin

    (1988)
  • NP JonesNP Jones

    Eye Injury in Sport

    Sports Medicine

    (1989)
  • NP Jones

    Eye injury in sport

    Sports Medicine

    (1989)
  • BD Jordan

    Professional Boxing: Experience of the New York State Athletic Commission

  • WI Larrison et al.

    Sports-related ocular trauma

    Ophthalmology

    (1990)
  • Lichter PR, Ryan SJ, Cowan CL: In support of the citizen's budget proposal for the National Eye Institute fiscal year...
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    Supported by an unrestricted grant from Research to Prevent Blindness, Inc (RPB).

    ☆☆

    We wish to thank Tod Turrif, Prevent Blindness America, and Pat Schneider, United States Eye Injury Registry, for their cooperation in providing timely data for publication in this article.

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