Abstract
Purpose: To review primary literature on ocular and orbital injury secondary to all-terrain vehicles (ATVs). Methods: A Medline search of English language literature. Results: Very few studies detail ocular and orbital manifestations of ATV crashes. The most common ocular injuries included orbital fractures and eyelid lacerations. Less common but more severe injuries included traumatic optic neuropathy, retinal detachment, optic nerve laceration, and ruptured globe. Associated facial and skull bone fractures, traumatic brain injury, and subdural/subarachnoid hemorrhage were not uncommon. Depending on the mechanism and force of injury, complete loss of vision has been documented. Conclusion: Ocular and orbital trauma can be found in many cases of ATV-related injury. Various interventions may decrease the frequency of such injuries, including use of head and eye protection.
Highlights
IntroductionBetween 1982 and 2014, the Consumer Product Safety Commission (CPSC) received 13,617 reports of all-terrain vehicles (ATVs)-related fatalities [1]
All-terrain vehicles (ATVs) are popular recreational vehicles originally introduced in 1971.Between 1982 and 2014, the Consumer Product Safety Commission (CPSC) received 13,617 reports of all-terrain vehicles (ATVs)-related fatalities [1]
The front wheel of his ATV came off while driving without a helmet, causing the ATV to flip over and the handle bar to penetrate his left orbit and brain. This resulted in traumatic optic neuropathy (TON), an 8.5 cm facial laceration, multiple facial and orbital fractures, and a cerebrospinal fluid leak requiring an emergent craniotomy
Summary
Between 1982 and 2014, the Consumer Product Safety Commission (CPSC) received 13,617 reports of ATV-related fatalities [1]. Based on crash frequency data, and in coordination with the CPSC, the more-dangerous three-wheeled ATVs were discontinued in 1988 [2,3]. The CPSC estimates that in 2011 (the most recent year with finalized data), ATVs were responsible for more than 100,000 injuries treated in emergency departments and nearly 700 deaths in the United States [1]. California, Pennsylvania, West Virginia, and Kentucky had the highest numbers of ATV-related fatalities from 1982–2011, each with over 500 deaths for the reporting period [1]. From 2001–2008, an average of 144 children and 568 adults died each year from ATVs in the United States. The American Academy of Pediatrics policy on ATVs recommends that ATV riders should be required to wear motorcycle-style helmets, to be at least
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
