title: Ocular injuries in all-terrain-vehicle accidents.
abstract: OBJECTIVE
  To examine the occurrence and extent of ocular injuries in ATV accidents in southwestern Pennsylvania.
  
  
  METHODS
  This was a retrospective chart review of 37 adults and 43 children at UPMC Mercy Hospital, UMPC Presbyterian Hospital, and Children's Hospital of Pittsburgh Trauma Registry. The Trauma Registry was searched for patients sustaining ocular injuries related to an ATV accident. Records were de-identified by an honest broker and analysed in this study.
  
  
  RESULTS
  Eighty percent (80%) of patients suffered orbital fracture; 40% had periorbital ecchymoses, and 25% had lid lacerations. Injuries ranged in severity from subconjunctival haemorrhages to traumatic avulsion of the optic nerves.
  
  
  CONCLUSIONS
  Ocular trauma frequently accompanies ATV accidents and can have a significant impact on patient outcomes. An educational programme (except 'program' in computers) promoting eye protection could reduce the number of eye injuries associated with these recreational vehicles.
authors.affiliation: University of Pittsburgh School of Medicine, Pittsburgh, PA, United States.
authors.forename: Vera A
authors.initials: VA
authors.lastname: Mayercik
authors.forename: Andrew W
authors.initials: AW
authors.lastname: Eller
authors.forename: S Tonya
authors.initials: ST
authors.lastname: Stefko
mesh_terms: D000063:Accidents, Traffic / Q000517:prevention & control* / Q000706:statistics & numerical data; D000293:Adolescent; D000328:Adult; D001766:Blindness / Q000453:epidemiology / Q000209:etiology / Q000517:prevention & control*; D002648:Child; D004438:Ecchymosis / Q000453:epidemiology / Q000209:etiology / Q000517:prevention & control*; D005135:Eye Protective Devices / Q000706:statistics & numerical data*; D005260:Female; D006260:Head Protective Devices / Q000706:statistics & numerical data; D006801:Humans; D008297:Male; D008875:Middle Aged; D015541:Off-Road Motor Vehicles / Q000706:statistics & numerical data*; D009917:Orbital Fractures / Q000453:epidemiology / Q000209:etiology / Q000517:prevention & control*; D010414:Pennsylvania / Q000453:epidemiology; D012042:Registries; D012189:Retrospective Studies; D012309:Risk-Taking; D015599:Trauma Severity Indices; D055815:Young Adult