Abstract: Professor Tang Shibo, vice president of the affiliated ophthalmic hospital of Sun Yat sen University and director of fundus surgery, said that every year, many people lose their retinas due to sports injury, among which high myopia (myopia above 600 degrees) is a high-risk group.
Professor Tang Shibo reminded: “eye injury in sports is different from chemical injury. It needs to be rinsed with water at the first time. At this time, you can neither rub your eyes nor touch water. If you have vision loss and irritation, send you to hospital immediately.”
“Diving and basketball are most likely to cause eye injuries.
” I know that jumping again will do great harm to my eyes. But there are many things in my life that can not be explained. When I was young, I should take some risks and do something I love. In this way, I won’t regret when I recall it in the future. ” This is a diving Olympic champion , once said.
It is understood that in diving, about 30% of athletes have vision problems.
Reporters learned from the affiliated Eye Hospital of Sun Yat sen University that in addition to professional athletes, this phenomenon also occurs to many ordinary lovers who love diving. because the eyes are required to be open when diving into the water, the eyes are affected by the huge pressure from the water surface at the moment of entering the water, which is easy to cause the retina to fall off.
It is reported that tens of thousands of eye injuries are caused by sports every year. in general, close physical contact and antagonistic sports such as basketball and football are most likely to cause eye damage, followed by water sports (diving and deep diving) and racket sports (badminton).
It is understood that according to the damage to eyes, sports can be divided into low risk, high risk and very high risk. Low risk sports do not use balls, sticks, bats or rackets, and there is no physical contact, including track and field, swimming, gymnastics and cycling; High risk sports use balls, sticks or rackets, or have physical contact, including basketball, football, badminton, hockey and other sports with rackets, as well as fencing and water polo. In addition, diving and diving should also be included in high-risk sports; Very dangerous sports have physical contact and do not use eye protection devices, including boxing, wrestling and martial arts.
Retinal detachment injury is almost irreversible.
Professor Tang Shibo introduced that eye injury caused by sports includes blunt injury when the body hits or the racket hits the eye, such as eyeball burst, eyeball burst and retinal detachment caused by fracture; Deep diving, diving and other sports with drastic changes in intraocular pressure caused by strong pressure can lead to retinal detachment; In addition, the penetrating injury occurs when the object enters the eye. When moving with frame glasses, the lens may break and stab into the eye accidentally, and the penetrating injury may occur at this time.
“The eye is one of the most valuable organs of the human body. 90% of the information is obtained through it, but it is exposed and very sensitive and fragile, so it is very vulnerable.” Tang Shibo introduced that the damage of sports to the eyes can lead to macular holes, optic nerve damage, crystal burst, retinal detachment and so on. It is worth noting that once damage occurs, it is often irreversible. “It’s ideal if the light person can recover part of his vision and recover 70% ~ 80%. The heavy person may only recover to the original level of 10% ~ 20%. If the treatment is not timely and the circumstances are very serious, blindness and eyeball atrophy may occur.” Tang Shibo said.
High myopia patients should not exercise violently
According to the survey, 1 / 3 of patients with primary retinal detachment have high myopia at the same time. In this regard, Professor Tang Shibo said: “the probability of retinal detachment in high myopia (myopia above 600 degrees) is much higher than that in ordinary people. If you add incentives such as strenuous exercise, it is likely to lead to such eye injury, so it is a high-risk group of sports eye injury. Affected by the same external force, the incidence of retinal detachment in patients with high myopia is 4 ~ 5 times that of normal eyeballs.”
He pointed out that there have been many extreme examples in groups with high myopia or pathological changes: retinal detachment may occur when infants hit their eyes or do eye care exercises and massage too hard. “This shows that the eyes of high myopia are very fragile. Their eyeballs are larger than ordinary people, the eyeball wall becomes thinner, and the retina becomes fragile. Even the retina itself may be damaged. At this time, it is easy to be injured if there is an external force.”
He suggested that people with high myopia had better not take strenuous exercise and heavy physical labor to avoid eye injury, mainly to prevent retinal detachment. Experts suggest that people with high myopia can choose some items to avoid confrontation and moderate range of exercise for physical exercise. “Some people still wear frame glasses to play, which is more dangerous. We treated many patients. Glass fragments pierced into their eyes after sports impact, resulting in serious injuries. Therefore, contact lenses should be selected during sports.” Tang Shibo said. He said that people with high myopia had better regularly check their fundus, vision and optometry every six months to eliminate potential hidden dangers.
In addition to, people with high blood pressure and diabetes should be cautious in dealing with strenuous exercise, because this group can easily cause bleeding in the fundus during exercise, resulting in retinal detachment.
Tang Shibo also told reporters that compared with adults, teenagers and children’s eye injuries often suffer more heavy losses.
“The younger the age, the worse the healing, the more serious the damage to the optic nerve function, and the strong eye body response leads to more surgical complications than adult patients.” Tang Shibo introduced that primary and middle school students are the main crowd who love ball games, and sports injuries are oftenIf it happens, you should learn to protect your eyes and head in fierce confrontation. In addition, parents should beware of children playing with syringes and sharp objects to avoid stabbing eyes.
Avoid rubbing eyes and washing eyes. Tang Shibo said that once retinal detachment occurs, surgery must be carried out, such as hole repair and reduction. The treatment effect is directly affected by the hospital delivery time, so it is particularly important to judge the injury at the first time after the eyes encounter various external forces during exercise.
“Injury types include closed injury and open injury. Severe closed injury may lead to massive retinal hemorrhage, while open injury is often accompanied by infection in the early stage, such as foreign bodies and sediment in the eye.” He introduced that if only the eyes are red and painful for a while, they will be fine, and their eyesight will not be affected. Such situations are generally not a problem; If there is bleeding, obvious irritation (unable to open your eyes), “tears” is hot (indicating eyeball rupture and intraocular fluid outflow), significant decline in vision and other phenomena, you should see a doctor immediately. “Between sending a doctor nearby and going to a specialized hospital, the latter should be chosen.” He said.
Tang Shibo specially reminded: once the eye is injured, do not rub the eye, because rubbing the eye will lead to the expansion of the wound and aggravation of the injury, and the eye tissue may be squeezed out if you are not careful.
In addition, sports injury is different from chemical injury, so don’t wash your eyes with water, because there are a lot of bacteria in raw water, which will aggravate the infection.
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