Ocular injuries associated with two-wheeled electric transportation devices and motorcycle accidents

Abstract

Electric bicycles and scooters have gained popularity among riders; studies assessing these device-related injuries have not specified ocular trauma. Our study examined the types and risk factors for ocular and periocular injuries associated with electric devices compared to motorcycle accidents. The study was conducted on the National Trauma Registry database from 20 trauma centers, including patients involved in accidents with electric bicycles, scooters, and motorcycles between 2014 to 2019. Injured riders were assigned into two groups: motorcycle group (M) and electric bicycle & scooter group (E). Data such as gender, age, protective gear use, ocular injury type, injury severity score (ISS), and ocular surgery were captured. Logistic regression models were conducted for injury types and the need for surgery. 8181 M-riders and 3817 E-riders were involved in an accident and hospitalized. E-riders suffered from ocular injury more than M-riders. Males were most vulnerable and the ages of 15–29. Orbital floor fracture was the most common injury, followed by ocular contusion, eyelid laceration, and other ocular wounds. Electric bicycle and scooter riders are more likely to suffer from ocular injury than motorcycle riders. Riders without helmets are at greater risk for injuries, specifically orbital floor fractures. ISS of 16 + was associated with injury demanding ocular surgery.

Eye and Orbit Injuries Caused by Electric Scooters and Hoverboards in the United States

“…Other studies have similarly shown that orbital floor fractures were the most common injury (60%), followed by ocular contusion (30%), eyelid laceration (20%), and other ocular wounds (7%), with riders without helmets being at greater risk for orbital floor fractures. 8 , 16 Interestingly, e-scooter riders were found to suffer from ocular injury more than motorcycle riders. 16 Yarmohammadami et al performed a retrospective review to characterize facial trauma associated with standing e-scooter injuries and found 34 patients over a year with facial injuries, none of whom wore a helmet, and three quarters of whom were intoxicated or impaired.…”

“… 8 , 16 Interestingly, e-scooter riders were found to suffer from ocular injury more than motorcycle riders. 16 Yarmohammadami et al performed a retrospective review to characterize facial trauma associated with standing e-scooter injuries and found 34 patients over a year with facial injuries, none of whom wore a helmet, and three quarters of whom were intoxicated or impaired. Among the cohort, greater than 90% presented with at least one type of facial fracture, 56% with lateral orbital wall fractures, 53% with orbital floor fractures, 28% with orbital roof fractures, and 25% with medial orbital wall fractures.…”

Presentations and Incidence of Ocular Injuries Caused by Motorcycle Accidents in Iraq

“…33 Driving under the influence of alcohol can lead to accidents, which not only affects the driver but also the passengers and other people on the road. 34 Limitations of the study Since only two governates out of 18 limit the conclusion, at the same time, it gives us an initial assessment of the seriousness of the ocular injuries, a national study that involves most of the country is necessary.…”