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September 1992

Protective Eyewear Needed With Driver's-Side Air Bag?

Author Affiliations

Highland Park, Ill

Arch Ophthalmol. 1992;110(9):1201. doi:10.1001/archopht.1992.01080210019008

To the Editor.  —Severe ocular trauma from driver's-side air bag in conjunction with a three-point lap-shoulder seat belt1 and air-bag keratitis2 have been recently documented. I examined a 45-year-old woman restrained by a three-point lap-shoulder seat belt whose air bag was deployed when she drove her 1990 Lexus LS 400 at 30 mph head-on into a tree. She suffered right upper and lower lid ecchymoses and edema, right inferonasal subconjunctival hemorrhage, right corneal abrasion, and 20° to 30° of variable right exotropia. Orbital roentgenograms showed no abnormalities. All her injuries resolved completely without residua.The case report by Rimmer and Shuler1 involved facial abrasions and severe ocular trauma on the left side, and one of their hypotheses was that the air-bag may have forced that patient's head laterally against the driver's-side window in that head-on accident. With this description of a right-sided injury, the air-bag is directly

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