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Published on: August 25, 2021
Air bag-associated ocular trauma in children
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
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.
Objective:
To describe a series of children with ocular injuries related to air bag deployment.
Design:
Retrospective, observational case series.
Participants:
Seven patients with ocular injuries sustained in motor vehicle accidents in which air bags were deployed.
Methods:
Review of medical records.
Results:
All patients had periocular contusions. Minor injuries included corneal abrasions (n = 5), superficial eyelid laceration (n = 1), and traumatic iritis (n = 2). Serious injuries included corneal edema (n = 1) and a traumatic hyphema with secondary glaucoma and cataract (n = 1). The latter patient required surgery. All other injuries resolved with medical therapy. All patients recovered normal visual acuity.
Conclusions:
Serious ocular injuries in children may result from air bag deployment. Most such injuries are minor and resolve without sequela. It is recommended that infants and children travel in the rear seat of automobiles to minimize their risk of injury.
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