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Whiplash and its effect on the visual system
1Department of Ophthalmology, Royal Hallamshire Hospital, Sheffield, United Kingdom.
Summary
Motor vehicle collisions can cause whiplash neck injuries, sometimes leading to eye problems. This study found that while ocular complications are common, they are usually mild and resolve within nine months.
Area of Science:
- Ophthalmology
- Neurology
- Traumatology
Background:
- Motor vehicle collisions frequently cause whiplash injuries.
- The frequency of associated ocular complications is not well-established.
- Ocular and oculomotor function following whiplash injuries requires further investigation.
Purpose of the Study:
- To investigate the occurrence and nature of ophthalmic and oculomotor complications after whiplash injuries.
- To determine the prognosis and resolution timeline of these ocular abnormalities.
Main Methods:
- A longitudinal study was conducted on 39 patients with whiplash injuries.
- Initial ophthalmological assessments were performed within one week of injury.
- Ophthalmic and oculomotor functions were monitored over time.
Main Results:
- Ten out of 39 patients developed ocular symptoms and signs post-injury.
- Common abnormalities included decreased convergence/accommodation, superior oblique muscle paresis, reduced stereoacuity, and vitreous detachments.
- Most symptoms resolved within 9 months; asymptomatic patients showed signs resolving within 3 months.
Conclusions:
- Oculomotor abnormalities following whiplash injuries are relatively common.
- These abnormalities are generally mild and have a favorable prognosis.
- Early ophthalmological assessment is crucial for managing whiplash-related eye conditions.