A case of retinal detachment resulting from air bag deployment


Submitted: 28 November 2022
Accepted: 20 February 2023
Published: 28 March 2023
Abstract Views: 488
PDF: 211
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Authors

ABSTRACT

A motor vehicle accident (MVA) can result in death or serious injury to the driver and passengers in case the airbags are not deployed. There are, however, several reasons why an airbag can injure a passenger even when there is no accident involved. A 41-year-old female patient who suffered facial bone fractures and an retinal perforation after her air bag deflated during a minor car accident. The complaints of the patient on admission to the emergency department (ED) were facial pain, swelling and redness in the eye. Orbital CT imaging revealed fragmented fracture line displaced into the maxillary sinus at the floor of right orbit, posttraumatic changes in preorbital skin and In the right globe vitreous, an appearance thought to belong to hyperdense hemorrhage. The patient was taken to emergency operation due to corneal perforation in the right eye. All patients who present with air bag-related ocular trauma should undergo a complete ophthalmologic examination because ocular injuries that may be more serious than they initially appear.


Ashabyamın M, Hamdamjo F. Severe facial fractures due to airbag deployment without utilization of a seat belt: A case report. Marmara Med J 2021;34:79-81. DOI: https://doi.org/10.5472/marumj.866574

Koisaari T, Leivo T, Sahraravand A, et al. Airbag deployment-related eye injuries. Traffic Inj Prev 2017;18:493-9 DOI: https://doi.org/10.1080/15389588.2016.1271945

Yaremchuk K, Dobie RA. Otologic injuries from airbag deployment. Otolaryngol Head Neck Surg 2001;125:130-4. DOI: https://doi.org/10.1067/mhn.2001.117872

Kenney KS, Fanciullo LM. Automobile air bags: friend or foe? A case of air bag-associated ocular trauma and a related literature review. Optometry 2005;76:382-6. DOI: https://doi.org/10.1016/j.optm.2005.06.001

Salam T, Stavrakas P, Wickham L, Bainbridge J. Airbag injury and bilateral globe rupture. Am J Emerg Med 2010;28:982.e5-6. DOI: https://doi.org/10.1016/j.ajem.2009.12.015

Lee WB, O'Halloran HS, Pearson PA, et al. Airbags and bilateral eye injury: five case reports and a review of the literature. J Emerg Med 2001;20:129-34. DOI: https://doi.org/10.1016/S0736-4679(00)00299-7

Sato Y. Ohshima T, Kondo T. Air bag injuries-a literature review in consideration of demands in forensic autopsies. Forensic Sci Int 2002;128:162-7. DOI: https://doi.org/10.1016/S0379-0738(02)00197-4

Büyük Y, Üzün İ, Erkol Z, et al. Air bag-mediated fatal craniocervical trauma: a case report. Ulusal Travma ve Acil Cerrahi Dergisi 2010;16:379-81.

Skibba KEH, Cleveland CN, Bell DE. Airbag burns: an unfortunate consequence of motor vehicle safety. J Burn Care Res 2021;42:71-3. DOI: https://doi.org/10.1093/jbcr/iraa117

Whitacre MM, Pilchard WA. Air bag injury producing retinal dialysis and detachment. Arch Ophthalmol 1993;111:1320. DOI: https://doi.org/10.1001/archopht.1993.01090100026013

Han DP. Retinal detachment caused by air bag injury. Arch Ophthalmol 1993;111:1317-8. DOI: https://doi.org/10.1001/archopht.1993.01090100023010

Savastano A, Donati MC, Rizzo S. Retinal Tear Related to Air Bag Deployment. JAMA Ophthalmol 2016;134:e155021. DOI: https://doi.org/10.1001/jamaophthalmol.2015.5021

Eliott D, Hauch A, Kim RW, Fawzi A. Retinal dialysis and detachment in a child after airbag deployment. J AAPOS 2011;15:203-4. DOI: https://doi.org/10.1016/j.jaapos.2010.11.021

Dubinsky I, McGowan H. Case report: retinal tear as a consequence of air bag inflation. Can Fam Physician 1997;43:1576-7.

Ruiz-Moreno JM. Air bag-associated retinal tear. Eur J Ophthalmol 1998;8:52-3. DOI: https://doi.org/10.1177/112067219800800112

Stein JD, Jaeger EA, Jeffers JB. Air bags and ocular injuries. Trans Am Ophthalmol Soc 1999;97:59-82; discussion 82-6.

Samanta R, Jayaraj S, Sood G, Agrawal A. Post-traumatic posterior giant retinal tear and macular hole associated retinal detachment. Indian J Ophthalmol 2022;70:1869. DOI: https://doi.org/10.4103/ijo.IJO_1017_22

Gadde SGK, Snehith R, Jayadev C, et al. Macular tractional retinal detachment: A rare complication of blunt trauma. Indian J Ophthalmol 2020;68:2602-2604. DOI: https://doi.org/10.4103/ijo.IJO_1424_20

Duma SM, Jernigan MV, Stitzel JD, et al. The effect of frontal air bags on eye injury patterns in automobile crashes. Arch Ophthalmol 2002;120:1517-22. DOI: https://doi.org/10.1001/archopht.120.11.1517

Walsh A, Lewis K. EMS Management of Eye Injuries. 2022 Aug 5. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan.

Stacey DH, Doyle JF, Gutowski KA. Safety device use affects the incidence patterns of facial trauma in motor vehicle collisions: an analysis of the National Trauma Database from 2000 to 2004. Plast Reconstr Surg 2008;121:2057–64. DOI: https://doi.org/10.1097/PRS.0b013e31817071fb

McGwin G, Owsley C. Risk factors for motor vehicle collision-related eye injuries. Arch Ophthalmol 2005;123:89–95. DOI: https://doi.org/10.1001/archopht.123.1.89

Adams SL, Petri RW. Injury with spontaneous deployment of an automobile air bag. Acad Emerg Med 1996;3:179-80. DOI: https://doi.org/10.1111/j.1553-2712.1996.tb03411.x

Yılmaz, F., Baltacıoğlu, B., Akça, E., & Yavuz, Y. F. (2023). A case of retinal detachment resulting from air bag deployment. Emergency Care Journal, 19(1). https://doi.org/10.4081/ecj.2023.11039

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