汽車安全氣囊導致眼球傷害―病例報告

Ocular Injury Associated with Airbag Deployment-A Case Report

胡兆宇(Chao-Yu Hu) ； 陳是辰(Lowei S. C. Chen) ； 吳俊穎(Chun-Yin Wu) ； 楊長豪(Chang-Hao Yang)

《中華民國眼科醫學會雜誌》 43卷2期 (2004/06) Pp. 141-146

https://doi.org/10.30048/ACTASOS.200406.0011

摘要

汽車安全氣囊可有效減少因車禍所造成的重大傷亡，但是也可能因此造成不必要的傷害。本篇報告一名53歲男性駕駛在經歷非高速（時速約四十餘公里）的正面碰撞車禍後，因安全氣囊作用所產生的眼球損傷（角膜刮傷、角膜水腫、前房出血、視網膜黃斑部Berlin氏水腫）。經過一個月的治療後，視力、眼壓、中央角膜厚度、角膜上皮、前房、視網膜等皆恢復正常，但角膜內皮細胞密度明顯減少，受傷部位的角膜亦明顯較厚，日後恐有角膜失償的危險，而這種情況無法藉測量中央角膜厚度顯示出來。醫師及病患皆必須特別注意這個潛在的後遺症，在施行任何眼內手術之前，必須先仔細評估角膜的內皮細胞狀態，才不致產生更嚴重的後果。

並列摘要

Airbags can effectively decrease the major trauma and mortality during car accidents, but they also introduced more cases of minor injuries, especially during low-speed collisions. Here we report a case of blunt ocular injury associated with airbag deployment in a low-speed frontal collision. This 53-year-old male driver suffered from corneal abrasion, corneal edema, hyphema, and Berlin's edema in his left eye. After 1-month treatment, his best corrected visual acuity improved from 0.05 initially to 1.2, and the corneal thickness was not different between eyes. Nevertheless, at the injured sites, cornea was apparently thicker and corneal endothelial densities were lower than those in the fellow eye. This cornea might decompensate after any other ocular trauma or intraocular surgery. Ophthalmologists should be aware of this potential complication. Specular microscopy, instead of corneal pachymetry, is still the method of choice to prevent such tragedy.

並列關鍵字

Airbag ； Ocular injury ； Endothelial cell loss ； Corneal abrasion