{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,10]],"date-time":"2026-09-10T00:04:13Z","timestamp":1788998653050,"version":"build-2803163510"},"reference-count":14,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2024,11,18]],"date-time":"2024-11-18T00:00:00Z","timestamp":1731888000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,11,18]],"date-time":"2024-11-18T00:00:00Z","timestamp":1731888000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Int Ophthalmol"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>The objective is to investigate trends in cases of motor vehicle accident-associated (MVA-associated) ocular trauma in which the patient was the driver of the motor vehicle.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The study utilizes data from the 2007\u20132014 National Trauma Databank (NTDB), a national trauma registry. Status as the driver of the motor vehicle was identified using E-Codes from the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). Trauma diagnoses were identified using D-Codes from the ICD-9-CM. Statistics were performed using IBM SPSS Version 23.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>We identified 49,660 cases of ocular trauma secondary to an MVA with a 25.3% increase in injuries over the 8-year time period. Men comprised 68.6% (34,057) of cases. Orbital floor fractures (OFFs) were the most commonly observed ocular injury, occurring in 17,647 (35.5%) cases. There were 2,787 cases of open globe injury (OGI) with the highest proportion of cases in the 65\u2009+\u2009age group (6.5%). OGIs were seen in 3.0% of cases with OFFs vs. 7.1% in those without. Drivers under 18 were more likely to have optic pathway\/cranial nerve injuries (4.4%) and ocular\/adnexal contusions (41.2%) than adult drivers. The mortality rate was 4.3% and was highest in the 65\u2009+\u2009age group (9.4%).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Men and young adults comprised the majority of cases of MVA-associated ocular trauma. OFFs were seen in approximately one-third of cases of ocular trauma. OGIs were less commonly observed when a concurrent OFF was observed. Though the overall mortality was 4.3%, there was significant variation by age group.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s10792-024-03356-7","type":"journal-article","created":{"date-parts":[[2024,11,18]],"date-time":"2024-11-18T00:52:45Z","timestamp":1731891165000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Epidemiology of motor vehicle accident-associated ocular trauma"],"prefix":"10.1007","volume":"44","author":[{"given":"Nishay V.","family":"Bhatnagar","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aditya","family":"Uppuluri","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Neelakshi","family":"Bhagat","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paul D.","family":"Langer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2024,11,18]]},"reference":[{"key":"3356_CR1","unstructured":"U.S. Department of Transportation, National Highway Traffic Safety Administration (2023) Overview of Motor Vehicle Traffic Crashes in 2021. https:\/\/crashstats.nhtsa.dot.gov\/Api\/Public\/ViewPublication\/813435. Accessed June 15, 2023"},{"key":"3356_CR2","unstructured":"Center for Disease Control and Prevention, National Center for Injury Prevention and Control (2010) Save lives, save dollars: prevent motor vehicle-related injuries. http:\/\/www.cdc.gov\/injury\/pdfs\/cost-MV-a.pdf. Accessed June 15, 2023"},{"issue":"2","key":"3356_CR3","doi-asserted-by":"publisher","first-page":"73","DOI":"10.3928\/01913913-20110712-02","volume":"49","author":"SP Lesnjak","year":"2012","unstructured":"Lesnjak SP, Bauza A, Son JH, Zarbin MA, Langer P, Guo S, Wagner RS, Bhagat N (2012) Twelve-year review of pediatric traumatic open globe injuries in an urban U.S. population. J Pediatr Ophthalmol Strabismus 49(2):73\u201379","journal-title":"J Pediatr Ophthalmol Strabismus"},{"issue":"4","key":"3356_CR4","doi-asserted-by":"publisher","first-page":"755","DOI":"10.1038\/s41433-019-0588-7","volume":"34","author":"S Goyal","year":"2020","unstructured":"Goyal S, Rettiganti M (2020) Gupta P (2020) Factors associated with motor vehicle-related eye injuries presenting to the US emergency departments. Eye (Lond) 34(4):755\u2013762. https:\/\/doi.org\/10.1038\/s41433-019-0588-7","journal-title":"Eye (Lond)"},{"issue":"1","key":"3356_CR5","doi-asserted-by":"publisher","first-page":"89","DOI":"10.1001\/archopht.123.1.89","volume":"123","author":"G McGwin Jr","year":"2005","unstructured":"McGwin G Jr, Owsley C (2005) Risk factors for motor vehicle collision-related eye injuries. Arch Ophthalmol 123(1):89\u201395. https:\/\/doi.org\/10.1001\/archopht.123.1.89","journal-title":"Arch Ophthalmol"},{"issue":"8","key":"3356_CR6","doi-asserted-by":"publisher","first-page":"1313","DOI":"10.1007\/s00417-015-2929-y","volume":"253","author":"CK Orr","year":"2015","unstructured":"Orr CK, Bauza A, Langer PD, Zarbin MA, Bhagat N (2015) Open-globe injuries with motor vehicle accidents: a 12-year review. Graefes Arch Clin Exp Ophthalmol 253(8):1313\u20131317","journal-title":"Graefes Arch Clin Exp Ophthalmol"},{"issue":"3","key":"3356_CR7","doi-asserted-by":"publisher","first-page":"240","DOI":"10.5935\/0004-2749.20220035","volume":"85","author":"CH He","year":"2022","unstructured":"He CH, Poulsen DM, Parsikia A, Mbekeani JN (2022) Characteristics of ocular trauma in the United States. Arq Bras Oftalmol 85(3):240\u2013248. https:\/\/doi.org\/10.5935\/0004-2749.20220035","journal-title":"Arq Bras Oftalmol"},{"issue":"6","key":"3356_CR8","doi-asserted-by":"publisher","first-page":"693","DOI":"10.5811\/westjem.2014.5.20623","volume":"15","author":"GW Armstrong","year":"2014","unstructured":"Armstrong GW, Chen AJ, Linakis JG, Mello MJ, Greenberg PB (2014) Motor vehicle crash-associated eye injuries presenting to U.S. emergency departments. West J Emerg Med 15(6):693\u2013700. https:\/\/doi.org\/10.5811\/westjem.2014.5.20623","journal-title":"West J Emerg Med"},{"key":"3356_CR9","unstructured":"National Trauma Data Bank\u2122 (NTDB) (2023) http:\/\/www.facs.org\/trauma\/ntdb.htm. Accessed June 15"},{"key":"3356_CR10","unstructured":"Department of Administration of Alaska, Division of Motor Vehicles (2017) Instruction Permit. https:\/\/doa.alaska.gov\/dmv\/akol\/permit.htm. Accessed June 17, 2023"},{"key":"3356_CR11","unstructured":"AAA Foundation for Traffic Safety (2020) 2019 Traffic Safety Culture Index. https:\/\/aaafoundation.org\/wp-content\/uploads\/2020\/06\/2019-Traffic-Safety-Culture-Index.pdf. Accessed June 21, 2023"},{"issue":"4","key":"3356_CR12","doi-asserted-by":"publisher","first-page":"232","DOI":"10.3928\/01913913-20210224-01","volume":"58","author":"S Uppuluri","year":"2021","unstructured":"Uppuluri S, Uppuluri A, Zarbin MA, Bhagat N (2021) Epidemiology of Pediatric Open Globe Injury in the United States. J Pediatr Ophthalmol Strabismus 58(4):232\u2013239. https:\/\/doi.org\/10.3928\/01913913-20210224-01","journal-title":"J Pediatr Ophthalmol Strabismus"},{"issue":"4","key":"3356_CR13","doi-asserted-by":"publisher","first-page":"626","DOI":"10.1016\/j.ophtha.2020.07.049","volume":"128","author":"A Uppuluri","year":"2021","unstructured":"Uppuluri A, Bhagat N, Langer PD (2021) Orbital Floor fractures Concurrent with Acute Open-Globe injuries. Ophthalmology 128(4):626\u2013628","journal-title":"Ophthalmology"},{"key":"3356_CR14","unstructured":"Bergen G, Peterson C, Ederer D, Florence C, Haileyesus T, Kresnow M, Xu L (2014) Vital Signs: Health Burden and Medical Costs of Nonfatal Injuries to Motor Vehicle Occupants \u2013 United States, 2012. Center for Disease Control and Prevention. https:\/\/www.cdc.gov\/mmwr\/preview\/mmwrhtml\/mm6340a4.htm. Accessed 9 Oct 9 2024"}],"container-title":["International Ophthalmology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s10792-024-03356-7.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s10792-024-03356-7\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s10792-024-03356-7.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,3,13]],"date-time":"2025-03-13T11:34:18Z","timestamp":1741865658000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s10792-024-03356-7"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,11,18]]},"references-count":14,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2024,12]]}},"alternative-id":["3356"],"URL":"https:\/\/doi.org\/10.1007\/s10792-024-03356-7","relation":{"has-preprint":[{"id-type":"doi","id":"10.21203\/rs.3.rs-4270751\/v1","asserted-by":"object"}]},"ISSN":["1573-2630"],"issn-type":[{"value":"1573-2630","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,11,18]]},"assertion":[{"value":"15 April 2024","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"8 November 2024","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"18 November 2024","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The authors declare no competing interests.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}},{"value":"This study adhered to the tenets of the Declaration of Helsinki and received exemption by the Rutgers University Institutional Review Board due to non-human determination according to the National Bureau of Economic Research.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval"}}],"article-number":"433"}}