Air bag-associated ocular trauma in children

G T Lueder1

  • 1Departments of Ophthalmology and Visual Sciences and Pediatrics, Washington University Medical Center and St. Louis Children's Hospital, St. Louis, Missouri, USA. luederg@vision.wustl.edu

Ophthalmology
|August 2, 2000
PubMed

Insights

Air bag deployment can cause eye injuries in children, though most are minor and heal well. Rear-seat travel is recommended for children to reduce risks from air bag injuries.

Area of Science:

  • Ophthalmology
  • Pediatric Ophthalmology
  • Trauma Surgery

Background:

  • Motor vehicle accidents are a significant cause of pediatric injury.
  • Air bag systems are designed to protect occupants but can pose a risk of direct injury.

Observation:

  • A retrospective case series of seven children with ocular injuries following motor vehicle accidents involving air bag deployment.
  • Medical records were reviewed to detail the nature and severity of injuries.

Findings:

  • Common injuries included periocular contusions and corneal abrasions.
  • More severe injuries, such as corneal edema, traumatic iritis, hyphema, secondary glaucoma, and cataract, were observed in some cases.
  • One patient required surgical intervention for severe ocular trauma.

Implications:

  • While most air bag-related ocular injuries in children are minor, serious injuries can occur.
  • Recommendations include seating children in the rear of vehicles to mitigate air bag exposure and potential ocular trauma.
Abstract

Related Concept Videos

Glaucoma: Overview01:25

Glaucoma: Overview

Glaucoma is an eye condition characterized by increased intraocular pressure that damages the retina and optic nerve, leading to irreversible blindness if left untreated. The human eye has various components, including the cornea, iris, pupil, lens, and optic nerve. Aqueous humor is secreted by the epithelium of the ciliary body in the posterior chamber and flows through the trabecular meshwork and canal of Schlemm, maintaining normal intraocular pressure. The trabecular meshwork and the canal...
Open Angle Glaucoma: Treatment01:27

Open Angle Glaucoma: Treatment

In open-angle glaucoma, the iridocorneal angle remains open, but the trabecular meshwork becomes stiff, slowing down the outflow of aqueous humor. This causes a buildup of aqueous humor in the anterior chamber, leading to a sudden increase in intraocular pressure. The treatment for open-angle glaucoma focuses on reducing the elevated intraocular pressure by either decreasing the secretion of aqueous humor or increasing its outflow.
Drugs such as carbonic anhydrase inhibitors, α2- and...
Angle Closure Glaucoma: Treatment01:28

Angle Closure Glaucoma: Treatment

Angle-closure glaucoma, or closed-angle glaucoma, is an eye condition where the iris bulges out and blocks the iridocorneal angle, resulting in a buildup of aqueous humor and increased intraocular pressure. Immediate medical attention is necessary due to the sudden onset of symptoms. The treatment for angle-closure glaucoma includes short-term and long-term approaches. Short-term treatment involves using eye drops like pilocarpine to lower intraocular pressure by increasing aqueous humor...
Accessory Structures of the Eye01:17

Accessory Structures of the Eye

Optical perception, or vision, is an extraordinary sense dependent on converting light signals received via the ocular organs. These organs, known as eyes, are securely positioned within the bony cavities of the skull, called orbits. The orbits serve a dual purpose: a protective shield for the ocular globes and a stable attachment point for the soft ocular tissues. The eye's external protective mechanisms include the eyelids, which are edged with lashes that act as a barrier against foreign...
Ophthalmic Drug Delivery Systems01:23

Ophthalmic Drug Delivery Systems

Ophthalmic drug delivery faces major limitations due to poor absorption across the corneal membrane. This process is primarily driven by diffusion and is influenced by two main factors: the physicochemical properties of the drug and tear drainage. Most ophthalmic drugs, such as pilocarpine, epinephrine, atropine, and local anesthetics, are weak bases. They are typically formulated at an acidic pH to enhance chemical stability. However, this leads to high ionization, reducing their ability to...
Cardiopulmonary Resuscitation II: ACLS Airway Management01:22

Cardiopulmonary Resuscitation II: ACLS Airway Management

Airway management is a key skill in emergency and critical care settings, as maintaining a clear airway is essential for adequate oxygenation and ventilation.Head Tilt-Chin Lift TechniqueThe head tilt-chin lift maneuver is an essential technique primarily used in patients without suspected cervical spine injuries. To perform this maneuver, one hand is placed on the patient’s forehead, and gentle pressure is applied backward to tilt the head. The fingertips of the other hand are positioned under...