Eye safety in sports and recreation Flashcards
3 data sources for healthy people 202 “eye safety”
NEISS- national electronic injury surveillance system. Gathered injury data from 100 ERs. Used to determine the need for product recalls or public awareness campaigns.
SOII- survey of occupational injuries and illness.
Collects stats about workplace safety.
NHIS- National Health interview survey. Asks survey questions each year to health population.
Patients who may be more at risk for serious sports related eye injuries
- Monocular patient
- Amblyope
- High myope and peripheral retinal disease- both cause retinal thinning. Increases risk of detachments.
- History of eye surgery. Previous surgeries weaken the globe.
Sport with the most eye injuries
Basketball.
Mot common sports related eye injury in europe
Soccer.
79% due to the impact from the ball- especially if coming’s up from the bottom. The inferior orbital rim is less protected (thin bone)
75% soccer injuries are severe.
Negligence in sport safety eywear
Failure to recommend the appropriate type of eyewear
Failure to recommend appropriate lens material
Failure to inform the patient of increased risk for eye injury (boxing)
Eye safe sports
Gymnastics, track and field
High risk eye sports
Secondary to small fast projectiles (BB gun, paintball)
Secondary to sticks or close contact- basketball, lacrosse, hockey, racquetball.
Secondary to intentional injury- Boxing, martial arts.
What sports eyewear should you recommend?
4 categories
ASTM approved.
Eye protection also involves face/head/brain protection many times.
1. Helmet with face protection (hockey)
2. Helmet with separate eyewear (bike)
3. Face supported protection (not concerned with brain injury- paintball)
4. Safety glasses
ASTM F803 Standard specification for eye protectors for select sports. Offers protection only to the eyes and not other parts of the head.
4 classifications
1: Lenses and frame front are one unit
2. Lenses and frames as separate units.
3. A protector without a lens
4. A full or partial face shield.
^^Lots of requirements
PECC
Protective eyewear certification council
Purpose- select codes/standards for equipment use in athletic, sporting, rec, and leisure activity time.
Certifies that protector has been tested to ask ASTM standard.
Discontinued in 2010
How to tell if a product has been tested to meet ASTM standards
PECC. Possibly discontinued in 2010?
Used to have a sticker that was on the eyewear to show that the product was inspected by PECC and did meet ASTM standards.
What is the most common ocular injury from blunt trauma?
Hyphema
most common ocular injury due to air soft guns
No open globe injuries or retinal detachments.
Safer thaan BB guns, but still had reduced VAs.
Most common ocular injury due to paintball
Vitreous hemorrhages
Hyphema, cataract
Most common ocular rubber bullet injuries
Laceration of skin lids
Hyphema
Ruptured globe
Orbital fracture
SIGNIFICANT INJURIES
29% had NLP