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Published on: September 20, 2018
Irreversible bullous keratopathy after air bag trauma
H S Geggel1, P B Griggs, M I Freeman
1Virginia Mason Clinic, Section of Ophthalmology, Seattle, WA 98111, USA.
Purpose:
We describe an unusual case of corneal decompensation following air bag trauma in a 38 year-old-female.
Methods:
The patient was followed clinically for 5 months post-injury with persistent corneal edema that failed to resolve, necessitating corneal transplantation. Scanning electron microscopy (SEM) of the corneal button was performed.
Results:
SEM revealed localized areas of complete endothelial destruction. Other areas of the endothelium had cell counts under 1,000 cells per square millimeter.
Conclusions:
This case corroborates animal studies demonstrating endothelial cell loss from direct air bag trauma and stresses the need to possibly redesign this safety device for maximum driver protection.
