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British Journal of Sports Medicine 2005;39:e33; doi:10.1136/bjsm.2004.013524
Copyright © 2005 BMJ Publishing Group Ltd & British Association of Sport and Exercise Medicine.

An uncommonly serious case of an uncommon sport injury

A Abedin1 and H-C Chen2

1 Queen’s Medical Centre, Nottingham, UK
2 Derbyshire Royal Infirmary, Derby, UK

Correspondence to:
Correspondence to:
Asiya Abedin
Queen’s Medical Centre, Division of Ophthalmology and Visual Sciences, 8 Floor EENT Building, QMC, Nottingham NG7 2UH, UK; abedin_asiya{at}hotmail.com

ABSTRACT

Background: A 55 year old man sustained a severe ocular injury when hit by a cricket ball even though he was wearing a helmet.

Methods: A suprachoroidal haemorrhage was drained and dense intravitreal blood was removed. An inferior buckle was applied with the use of intraocular gas. A macular haemorrhage resolved slowly.

Results: Despite several surgical procedures over 1.5 years, the final visual acuity of the patient was only 6/60 because of a dense macular scar.

Conclusions: Helmets worn as protection when playing cricket need to be designed better and be of better material. Eye protection should be worn at all levels of play.

Abbreviations: RAPD, relative afferent pupillary defect; USG, ultrasonogram

Keywords: cricket; injury; ocular; sport; visual loss

CASE REPORT

An uncommonly serious case of an uncommon sport injury

A Abedin1 and H-C Chen2

1 Queen’s Medical Centre, Nottingham, UK
2 Derbyshire Royal Infirmary, Derby, UK

Correspondence to:
Correspondence to:
Asiya Abedin
Queen’s Medical Centre, Division of Ophthalmology and Visual Sciences, 8 Floor EENT Building, QMC, Nottingham NG7 2UH, UK; abedin_asiya{at}hotmail.com

ABSTRACT

Background: A 55 year old man sustained a severe ocular injury when hit by a cricket ball even though he was wearing a helmet.

Methods: A suprachoroidal haemorrhage was drained and dense intravitreal blood was removed. An inferior buckle was applied with the use of intraocular gas. A macular haemorrhage resolved slowly.

Results: Despite several surgical procedures over 1.5 years, the final visual acuity of the patient was only 6/60 because of a dense macular scar.

Conclusions: Helmets worn as protection when playing cricket need to be designed better and be of better material. Eye protection should be worn at all levels of play.

Abbreviations: RAPD, relative afferent pupillary defect; USG, ultrasonogram

Keywords: cricket; injury; ocular; sport; visual loss


 

Commentary

J D Carson3

3 Sunnybrook and Women’s College, Health Sciences Center, SportMed North, 255 Main Street, Unionville, Ontario, Canada L3R 2H3; james.carson{at}utoronto.ca


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Br. J. Sports Med. 2005 39: 496. [Extract] [Full Text] [PDF]

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