Epidemiology of motor vehicle crash-related serious eye injuries.

The Eye Injury Registry of Alabama has been collecting epidemiologic, treatment, final outcome, and rehabilitation information on serious ocular trauma since 1982. By December 31, 1989, 150 motor vehicle crash-related eye injuries had been registered. This is the largest series of motor vehicle crash-related serious eye injuries reported. The mean age of those injured was 29 years; 61% were between 16 and 35 years of age, and 73% were males. Ten individuals (7%) suffered bilateral eye injuries. The retina was injured in 47% of eyes. The initial visual acuity was 19/200 or worse (legal blindness) in 47% of eyes. Of eyes with at least 3 months of follow-up, 63% had worse than 20/200 initial visual acuity and 41% remained legally blind. Twelve percent of eyes required removal. Possibly due to the large number of blunt ruptures, motor vehicle crash-related eye trauma carries a particularly unfavorable treatment prognosis. Prevention of these injuries is therefore of extraordinary importance.

[1]  J. D. Shuler,et al.  Severe ocular trauma from a driver's-side air bag. , 1991, Archives of ophthalmology.

[2]  I. Francis,et al.  Bilateral eye injuries from motor vehicle trauma. , 1983, The Australian and New Zealand journal of surgery.

[3]  R. Michels.  Vitrectomy Methods in Penetrating Ocular Trauma , 1980, Ophthalmology.

[4]  C. D. Witherspoon,et al.  Bilateral ocular shotgun injury. , 1987, American journal of ophthalmology.

[5]  Briner Am.  Penetrating eye injuries associated with motor vehicle accidents. , 1976 .

[6]  L. Clearkin,et al.  The seat belt law and after. , 1987, British Journal of Ophthalmology.

[7]  W. Taylor.  Car seat belts and the eye. , 1974, Injury.

[8]  E. M. Eagling,et al.  Perforating injuries of the eye. , 1976, The British journal of ophthalmology.

[9]  L Evans,et al.  Airbag effectiveness in preventing fatalities predicted according to type of crash, driver age, and blood alcohol concentration. , 1989, Accident; analysis and prevention.

[10]  G. Mackay.  Incidence of trauma to the eyes of car occupants. , 1975, Transactions of the ophthalmological societies of the United Kingdom.

[11]  D F Huelke,et al.  Ocular injuries in automobile crashes. , 1982, The Journal of trauma.

[12]  M Rosenblatt,et al.  Air bags: trade-offs. , 1991, The New England journal of medicine.