TY - JOUR
T1 - Potential Impact of Seatbelt Use on the Spectrum of Ocular Injuries and Visual Acuity Outcomes after Motor Vehicle Accidents with Airbag Deployment
AU - Rao, Sunil K.
AU - Greenberg, Paul B.
AU - Filippopoulos, Theodoros
AU - Scott, Ingrid U.
AU - Katsoulakis, Nickolas P.
AU - Enzer, Yoash R.
PY - 2008/3
Y1 - 2008/3
N2 - Purpose: To investigate the association between seatbelt use and (1) the spectrum of ocular injuries and (2) visual acuity outcomes after motor vehicle accidents (MVAs) with airbag deployment. Design: Single-center retrospective observational case series. Participants: Forty-seven patients involved in MVAs with airbag deployment. Methods: Medical record review of all patients evaluated after an MVA with airbag deployment between January, 1997, and August, 2005, at a single level 1 trauma center. Main Outcome Measures: Type of ocular injury and visual acuity at 3 months after an MVA. Results: Seventy-one percent of patients who did not wear seatbelts experienced type III ocular injuries compared with 31% who wore seatbelts (P<0.0002). Posterior segment injuries occurred only in patients who did not wear seatbelts. At the 3-month follow-up, 76% of patients who did not wear seatbelts achieved a visual acuity of 20/40 or better compared with 96% of patients who wore seatbelts (P>0.10); a visual acuity worse than 20/200 was measured in 14% and 0% of patients in the 2 groups, respectively (P<0.03). Conclusions: In the current study, the use of seatbelts was associated with less severe ocular injuries and better visual outcomes.
AB - Purpose: To investigate the association between seatbelt use and (1) the spectrum of ocular injuries and (2) visual acuity outcomes after motor vehicle accidents (MVAs) with airbag deployment. Design: Single-center retrospective observational case series. Participants: Forty-seven patients involved in MVAs with airbag deployment. Methods: Medical record review of all patients evaluated after an MVA with airbag deployment between January, 1997, and August, 2005, at a single level 1 trauma center. Main Outcome Measures: Type of ocular injury and visual acuity at 3 months after an MVA. Results: Seventy-one percent of patients who did not wear seatbelts experienced type III ocular injuries compared with 31% who wore seatbelts (P<0.0002). Posterior segment injuries occurred only in patients who did not wear seatbelts. At the 3-month follow-up, 76% of patients who did not wear seatbelts achieved a visual acuity of 20/40 or better compared with 96% of patients who wore seatbelts (P>0.10); a visual acuity worse than 20/200 was measured in 14% and 0% of patients in the 2 groups, respectively (P<0.03). Conclusions: In the current study, the use of seatbelts was associated with less severe ocular injuries and better visual outcomes.
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U2 - 10.1016/j.ophtha.2007.05.053
DO - 10.1016/j.ophtha.2007.05.053
M3 - Article
C2 - 17765310
AN - SCOPUS:39749101685
SN - 0161-6420
VL - 115
SP - 573-576.e1
JO - Ophthalmology
JF - Ophthalmology
IS - 3
ER -