[Ocular barostress and barotrauma. A study of 15 scuba divers].
BACKGROUND
During SCUBA-diving, relative changes of the pressure in the diving mask, compared to the environmental pressure, are transmitted to the eye and to the periocular tissue. Barotrauma results from lack of pressure equilibration.


METHODS
In 15 divers (6 experienced, 9 beginners) the pressure difference (delta-p) between inside and outside of the diving mask was measured every second during recreational SCUBA-diving. Data were transmitted wireless to a modified standard diving computer. An overall dive time of 323 minutes was analysed.


RESULTS
Mean delta-p was 14.8 mbar (-44 to , std.dev. +/- 9), it was not dependent on the diving depth (r2 = 0.0004). Delta-p oscillated between 0 and 25 mbar (0-19 mm Hg), parallel to respiration. Negative delta-p values were 9.5 times more frequent in beginners than in experienced divers. Negative pressure peaks (changes > or = 10 mbar for more than 6 sec) occurred in the beginner group exclusively (p = 0.01).


CONCLUSIONS
During SCUBA diving, ocular tissues undergo oscillating changes of environmental pressure, parallel to respiration. This may be important in eyes with previous surgery. Pressure peaks, leading to severe ocular barotrauma, are easily avoidable.
Senn
P
P
Augenklinik Kantonsspital Luzern, 6000 Luzern 16, Schweiz. p.senn@tic.ch
Helfenstein
U
U
Senn
M L
ML
Schmid
M K
MK
Schipper
I
I
D000328:Adult; D001265:Athletic Injuries / Q000209:etiology; D001469:Barotrauma / Q000209:etiology* / Q000503:physiopathology; D004242:Diving / Q000293:injuries*; D005131:Eye Injuries / Q000209:etiology* / Q000503:physiopathology; D005260:Female; D006801:Humans; D007429:Intraocular Pressure; D008297:Male; D008875:Middle Aged; D013508:Ophthalmologic Surgical Procedures / Q000009:adverse effects*; D019876:Sports Equipment / Q000009:adverse effects*; D015599:Trauma Severity Indices