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. 2022 Jan;260(1):371-383.
doi: 10.1007/s00417-021-05284-z. Epub 2021 Aug 28.

Eye injuries from fireworks used during celebrations and associated vision loss: the international globe and adnexal trauma epidemiology study (IGATES)

Annette K Hoskin  1   2 , Rebecca Low  3 , Jan Tjeerd de Faber  4 , Chitaranjan Mishra  5 , Pradeep Susvar  6 , Eli Pradhan  7 , Andres Rousselot  8 , Fasika A Woreta  9 , Lisa Keay  10   11 , Stephanie L Watson  1 , Rupesh Agrawal  12 ; IGATES Fireworks study group
Collaborators, Affiliations

Eye injuries from fireworks used during celebrations and associated vision loss: the international globe and adnexal trauma epidemiology study (IGATES)

Annette K Hoskin et al. Graefes Arch Clin Exp Ophthalmol. 2022 Jan.

Erratum in

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.

Keywords: Fireworks; Ocular trauma; Vision loss.

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