Potential impact of seatbelt use on the spectrum of ocular injuries and visual acuity outcomes after motor vehicle accidents with airbag deployment.

Abstract:

PURPOSE:To investigate the association between seatbelt use and (1) the spectrum of ocular injuries and (2) visual acuity outcomes after motor vehicle accidents (MVAs) with airbag deployment. DESIGN:Single-center retrospective observational case series. PARTICIPANTS:Forty-seven patients involved in MVAs with airbag deployment. METHODS:Medical record review of all patients evaluated after an MVA with airbag deployment between January, 1997, and August, 2005, at a single level 1 trauma center. MAIN OUTCOME MEASURES:Type of ocular injury and visual acuity at 3 months after an MVA. RESULTS:Seventy-one percent of patients who did not wear seatbelts experienced type III ocular injuries compared with 31% who wore seatbelts (P<0.0002). Posterior segment injuries occurred only in patients who did not wear seatbelts. At the 3-month follow-up, 76% of patients who did not wear seatbelts achieved a visual acuity of 20/40 or better compared with 96% of patients who wore seatbelts (P>0.10); a visual acuity worse than 20/200 was measured in 14% and 0% of patients in the 2 groups, respectively (P<0.03). CONCLUSIONS:In the current study, the use of seatbelts was associated with less severe ocular injuries and better visual outcomes.

journal_name

Ophthalmology

journal_title

Ophthalmology

authors

Rao SK,Greenberg PB,Filippopoulos T,Scott IU,Katsoulakis NP,Enzer YR

doi

10.1016/j.ophtha.2007.05.053

subject

Has Abstract

pub_date

2008-03-01 00:00:00

pages

573-576.e1

issue

3

eissn

0161-6420

issn

1549-4713

pii

S0161-6420(07)00625-2

journal_volume

115

pub_type

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