학술논문
Eye injuries from fireworks used during celebrations and associated vision loss: the international globe and adnexal trauma epidemiology study (IGATES).
Document Type
Article
Author
Hoskin, Annette K.; Low, Rebecca; de Faber, Jan Tjeerd; Mishra, Chitaranjan; Susvar, Pradeep; Pradhan, Eli; Rousselot, Andres; Woreta, Fasika A.; Keay, Lisa; Watson, Stephanie L; Agrawal, Rupesh; IGATES Fireworks study group; Hoskin, Annette; Ramasamy, Kim; Balasubramanian, Dhipak A.; Sen, Parveen; Das, Amulya; Raman, Rajiv; Jayadev, Chaitra; Jain, Kushagra
Source
Subject
*VISION disorders
*PENETRATING wounds
*OCULAR injuries
*EPIDEMIOLOGY
*FIREWORKS
*EYE protection
*EYE care
*VISION testing
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Language
ISSN
0721-832X
Abstract
Purpose: To report on the factors associated with severe vision loss from fireworks-related ocular trauma during celebrations, including festivals. Methods: Tertiary eye care hospitals in 5 countries and private ophthalmology practices in the Netherlands. Patients included received treatment for fireworks-related ocular trauma during celebrations. Demographic and clinical data for patients affected were analyzed and associations with severe vision loss reported. Results: Of 388 patients, 71 (18.3 %) had severe vision loss (worse than 6/60) at 4-week follow-up due to fireworks-related ocular trauma. Mean age overall was 20.6 years (range 2 to 83 years), and there was a male predominance of 4:1. Clinical factors associated with severe vision loss included penetrating injury (OR 4.874 [95% CI 1.298–18.304; p = 0.02]) and lens injury (OR 7.023 [95% CI 2.378–20.736; p = 0.0004]). More patients with closed-globe injuries (CGIs) had improved vision after 4 weeks (OR 3.667, 1.096–12.27) compared to those with open-globe injuries (OGI) (p = 0.035). Eye protection use was reported by 7 patients, and 39.4% patients < 18 years were unsupervised by an adult at the time of injury. Conclusions: Severe vision loss from fireworks-related ocular trauma occurred during celebrations in a variety of countries and was associated with penetrating and/or lens injury and poor presenting vision. New initiatives are needed to prevent severe vision loss associated with these injuries. [ABSTRACT FROM AUTHOR]