Air-Bag Keratitis

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Abstract
We recently encountered a previously undescribed complication associated with an automobile air-bag malfunction. A two-year-old boy had been an unrestrained passenger in a two-car motor vehicle accident and was thrown from the rear seat to the front, landing face up under the dashboard. The driver's air bag had inflated and burst, showering the occupants of the car with a fine, black powder. The four passengers were examined in a local emergency room, and the child's eyes were briefly irrigated with normal saline. The patient was seen by an ophthalmologist four hours after the injury and had bilateral photophobia, tearing, and redness. The other three occupants of the car had normal tear pH and no ocular symptoms.

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