First Author: P.Kumar UK
Co Author(s): A. Brent T. Empselidis 0 0 0 0 0 0 0 0 0
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Traumatic eye injuries from a shuttlecock are rare in the UK, with football and squash representing the most common culprits. A review of badminton related eye injuries in Malaysia, suggest that the most common sequelae include hyphemas, traumatic mydriasis and commotio retinae. We present the first ever-reported case of serous macular detachment following direct shuttlecock injury.
The patients were diagnosed monitored and treated at the Leicester Royal Infirmary. The study is a retrospective case review.
A 38-year-old doctor presented with blurred vision and discomfort in his right eye after direct injury from shuttlecock. Initial examination revealed a reduced visual acuity of 2/60, traumatic iritis, iris sphincter rupture and a traumatic focal cataract. His intraocular pressure was reduced at 8mmHg and posterior segment examination was unremarkable. On day two a fundus examination revealed serous elevation of the retina just temporal to the disc with focal RPE damage, which was confirmed by an OCT scan. This CSR progressed over the next 8 days to involve macula. By day 48 the CSR had completely resolved and his vision had improved to 6/9.
Serous macular detachment secondary to a blunt sport related injury has only been reported twice previously, but this is the first time it has been related to badminton, which is usually an innocuous sport in terms of traumatic injury. Our case demonstrated spontaneous resolution. The mechanism has been proposed as focal disruption of RPE allowing choroidal circulation to pass into the sub retinal space, resulting in a serous neuroretinal detachment.
Interestingly, it has been reported that it is the doubles partner whom is most at risk of serious injury as he/she turns to see what their partner is doing and subsequently sustains a shuttlecock blow from a ‘smash’ shot. Amateurs were shown to be at higher risk than professionals. CSR is thought to be idiopathic, with corticosteroid use and type A personality being well-described risk factors. We propose that trauma should also be considered as a risk factor for CSR.