Ocular Related Sports Injuries

Abstract

Ocular injuries occur frequently in sports, affecting the globe, surrounding soft tissues, and the orbital bony structure. This review provides the craniofacial surgeon a broad general overview of epidemiology, mechanism of disease, and prevention.

Figure 1.

Intraocular contents have extruded onto the lower lid of a patient with a ruptured globe (full thickness break in the inferotemporal cornea). Photo courtesy of Benjamin Lin, MD.

Figure 2.

An 8 ball hyphema and diffuse subconjunctival hemorrhage is noted in this patient who presented after blunt trauma to the eye (A). Photo courtesy of Marissa Shoji, MD. A hyphema can be seen layering in the bottom of the anterior chamber of this patient with a history of previous cataract surgery and placement of a glaucoma drainage implant (B). Photo courtesy of Raquel Goldhardt, MD.

Figure 3.

A corneal epithelial defect is fluorescing after cobalt blue light is being shone on an eye that has been stained with fluorescein. Photo courtesy of Alison Bozung, OD.

Figure 4.

A full thickness lower lid laceration is demonstrated in this patient with a history of blunt trauma to the face (A) and after surgical repair (B). Photo courtesy of Marissa Shoji, MD.

Figure 5.

CT scan of a 14 Year old female who was struck in the left orbit by a softball, showing orbital wall fractures. (A) Coronal view: Left medial and floor fracture. Notice fracture propagation along the roof of the infra orbital canal and lamina papyracea. White arrow points to intra-orbital air. (B) Axial view better depicts the medial wall fracture. (C) Sagittal view allows better appreciation of the depressed orbital floor fracture.