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Trends in Hockey-Related Ocular Trauma
Leo L T Meller1, Darren Chau2, Marissa K Shoji1
1Division of Oculofacial Plastic and Reconstructive Surgery, Viterbi Family Department of Ophthalmology, University of California San Diego Shiley Eye Institute, La Jolla.
Hockey eye injuries are common and can be severe, with protective goggle use rarely reported. Increased awareness and use of protective eyewear are crucial to prevent vision-threatening injuries in hockey players.
Area of Science:
- Ophthalmology
- Sports Medicine
- Public Health
Background:
- Hockey is a leading cause of sports-related eye injuries.
- Characterization of hockey-related ocular trauma, including injury severity and type, remains limited.
Purpose of the Study:
- To characterize epidemiologic trends of hockey-related ocular trauma in the US.
- To analyze injury mechanisms, diagnoses, and severity in hockey eye injuries.
Main Methods:
- Cross-sectional study using the National Electronic Injury Surveillance System (NEISS) from 2004-2023.
- Analysis of patient demographics, hockey type, injury mechanism, diagnosis, and severity.
- Estimation of national incidence using NEISS algorithms.
Main Results:
- An estimated 6466 US hockey-related eye injuries occurred over 20 years.
- Most injuries (83%) were equipment-related, with only 2% reported goggle use.
- Vision-threatening injuries accounted for 12% of diagnoses; pediatric males had higher rates of anterior segment injuries.
Conclusions:
- Hockey-related eye injuries can be severe and pose a risk to vision.
- Low reported use of protective eyewear highlights the need for increased awareness and advocacy.
- Prompt assessment and management are essential for optimal patient care.
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