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Air bag-related ocular trauma

A Ghafouri1, S K Burgess, Z K Hrdlicka

  • 1Department of Ophthalmology, North Shore University Hospital, New York University School of Medicine, Manhasset, USA.

The American Journal of Emergency Medicine
|July 1, 1997
PubMed
Summary

Automobile air bags can cause serious eye injuries, including to the eyelids, conjunctiva, and cornea. A comprehensive eye exam is crucial for all patients experiencing air bag-related ocular trauma.

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Area of Science:

  • Ophthalmology
  • Trauma Surgery
  • Automotive Safety

Background:

  • Automobile airbags are a key safety feature in modern vehicles, designed to mitigate injuries during accidents.
  • While effective in reducing overall trauma, airbag deployment can lead to specific types of ocular injuries.

Observation:

  • This report details 11 new cases and reviews 21 previous cases, totaling 32 patients and 39 eyes affected by airbag-related ocular trauma.
  • Common injuries include eyelid (23 patients), conjunctival (21 patients), and corneal (23 patients) trauma.
  • Serious vision-threatening injuries such as retinal detachment, scleral rupture, and lens dislocation were also documented.

Findings:

  • The study identified patterns in airbag-related ocular injuries: 55% male, 45% female, ages 2-81 (mean 36).

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  • The right eye was affected in 35% of cases, the left in 38%, and 27% involved both eyes.
  • Hyphema was a frequent finding (10 patients).

    • Implications:

    • All patients with suspected airbag-related ocular trauma require a thorough ophthalmologic examination due to potentially severe, non-obvious injuries.
    • Further automotive engineering and airbag deployment system refinements are necessary to minimize ocular injury frequency and severity.