PMID- 17765310 OWN - NLM STAT- MEDLINE DCOM- 20080320 LR - 20181201 IS - 1549-4713 (Electronic) IS - 0161-6420 (Linking) VI - 115 IP - 3 DP - 2008 Mar TI - Potential impact of seatbelt use on the spectrum of ocular injuries and visual acuity outcomes after motor vehicle accidents with airbag deployment. PG - 573-576.e1 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. FAU - Rao, Sunil K AU - Rao SK AD - Division of Ophthalmology, Warren Alpert Medical School of Brown University, Rhode Island Hospital, Providence, Rhode Island, USA. FAU - Greenberg, Paul B AU - Greenberg PB FAU - Filippopoulos, Theodoros AU - Filippopoulos T FAU - Scott, Ingrid U AU - Scott IU FAU - Katsoulakis, Nickolas P AU - Katsoulakis NP FAU - Enzer, Yoash R AU - Enzer YR LA - eng PT - Journal Article DEP - 20070831 PL - United States TA - Ophthalmology JT - Ophthalmology JID - 7802443 SB - IM MH - *Accidents, Traffic MH - Adolescent MH - Adult MH - Aged MH - *Air Bags MH - Eye Injuries/classification/*epidemiology MH - Female MH - Humans MH - Male MH - Middle Aged MH - Retrospective Studies MH - Rhode Island/epidemiology MH - Seat Belts/*statistics & numerical data MH - Trauma Severity Indices MH - Visual Acuity/*physiology EDAT- 2007/09/04 09:00 MHDA- 2008/03/21 09:00 CRDT- 2007/09/04 09:00 PHST- 2007/02/21 00:00 [received] PHST- 2007/05/29 00:00 [revised] PHST- 2007/05/30 00:00 [accepted] PHST- 2007/09/04 09:00 [pubmed] PHST- 2008/03/21 09:00 [medline] PHST- 2007/09/04 09:00 [entrez] AID - S0161-6420(07)00625-2 [pii] AID - 10.1016/j.ophtha.2007.05.053 [doi] PST - ppublish SO - Ophthalmology. 2008 Mar;115(3):573-576.e1. doi: 10.1016/j.ophtha.2007.05.053. Epub 2007 Aug 31.