Ocular and Orbital Injury in All-Terrain Vehicles: A Literature Review

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.