Type of publication:
Conference abstract
Author(s):
*Iqbal N.; *Jenyon T.
Citation:
Eye (Basingstoke). Conference: The Royal College of Ophthalmologists Annual Congress 2025. Liverpool United Kingdom. 39 (pp 215), 2025. Date of Publication: 01 Jun 2025.
Abstract:
Introduction: Airbag systems are integral to passenger safety during road traffic accidents (RTAs), yet their deployment can also result in significant ocular trauma. The cornea, a vital structure responsible for focusing light onto the retina, relies on its endothelial layer to maintain transparency through fluid regulation. Damage to these endothelial cells can lead to corneal oedema and visual impairment. This report describes a unique case of bilateral endothelial decompensation following airbag-induced blunt trauma, highlighting the need for vigilance in recognising potential ocular complications in such scenarios. Method(s): We present a case of an 89-year-old male who presented with bilateral corneal decompensation following airbag deployment during a road traffic accident. Result(s): Ocular examination revealed multi-level ocular injury with severe bilateral corneal oedema. This was managed with topical steroids, mydriatics and, antibiotic therapy. At one month follow up the left eye had persistent corneal oedema. Specular microscopy was performed which confirmed endothelial cell loss making the patient a candidate for a corneal endothelial graft. We observed blunt trauma from airbag deployment causing endothelial cell loss and subsequent corneal decompensation. Conclusion(s): Common ocular traumas, such as corneal abrasions, hyphaema, and subconjunctival haemorrhage, are often readily identifiable. In contrast, endothelial damage can be subtle, leading to delayed symptoms such as blurred vision and corneal oedema. Clinicians should maintain a high index of suspicion for endothelial damage in patients presenting with post-accident ocular trauma and consider early referral to specialist services in such cases.
DOI: 10.1038/s41433-025-03831-0
