Asunto(s)
Cámara Anterior/cirugía , Edema Corneal/cirugía , Descompresión Quirúrgica , Glaucoma/cirugía , Paracentesis/efectos adversos , Hemorragia Retiniana/etiología , Uveítis/complicaciones , Cámara Anterior/fisiopatología , Edema Corneal/etiología , Edema Corneal/fisiopatología , Angiografía con Fluoresceína , Glaucoma/etiología , Glaucoma/fisiopatología , Humanos , Presión Intraocular , Masculino , Hemorragia Retiniana/diagnóstico , Agudeza Visual , Adulto JovenAsunto(s)
Anticuerpos Monoclonales/uso terapéutico , Degeneración Macular/tratamiento farmacológico , Desprendimiento de Retina/tratamiento farmacológico , Epitelio Pigmentado de la Retina/efectos de los fármacos , Anciano de 80 o más Años , Anticuerpos Monoclonales Humanizados , Exudados y Transudados , Femenino , Humanos , Inyecciones , Degeneración Macular/complicaciones , Degeneración Macular/diagnóstico , Ranibizumab , Desprendimiento de Retina/diagnóstico , Desprendimiento de Retina/etiología , Epitelio Pigmentado de la Retina/patología , Tomografía de Coherencia Óptica , Agudeza Visual , Cuerpo VítreoRESUMEN
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.