TY - JOUR
T1 - Eye injuries from fireworks used during celebrations and associated vision loss
T2 - the international globe and adnexal trauma epidemiology study (IGATES).
AU - IGATES Fireworks study group
AU - Hoskin, Annette K.
AU - Low, Rebecca
AU - de Faber, Jan Tjeerd
AU - Mishra, Chitaranjan
AU - Susvar, Pradeep
AU - Pradhan, Eli
AU - Rousselot, Andres
AU - Woreta, Fasika A.
AU - Keay, Lisa
AU - Watson, Stephanie L.
AU - Agrawal, Rupesh
AU - Hoskin, Annette
AU - Ramasamy, Kim
AU - Balasubramanian, Dhipak A.
AU - Sen, Parveen
AU - Das, Amulya
AU - Raman, Rajiv
AU - Jayadev, Chaitra
AU - Jain, Kushagra
AU - Larroude, Martina
AU - Scattini, Fernando Jorge
AU - Atenor, Patricia
AU - Salz, Diana
AU - Limbu, Ben
AU - Gurung, Hom
AU - Khatri, Anadi
AU - Shah, Mehul
AU - Singh, Shakeen
AU - Kaur, Anureet
AU - Mittal, Anurag
AU - Grover, A. K.
AU - Khanelwal, Rekha
AU - Natarajan, S.
AU - Nair, Akshay
AU - Gunasekeran, Dinesh Visva
AU - Woreta, Fasika
AU - Agrawal, Rupesh
N1 - Funding Information:
We thank Dr. Dhananjay Raje and Ms. Moumita Chakraborty, Data Analysis Group, MDS Bio-Analytics, Nagpur India for their assistance in clinical information analysis. We would also like to thank Lori Bonertz for her editorial assistance with the manuscript. IGATES Fireworks study group Annette Hoskin1,2, Rebecca Low3, Jan Tjeerd de Faber4, Chitaranjan Mishra5, Kim Ramasamy5, Dhipak A. Balasubramanian5, Parveen Sen6, Pradeep Susvar6, Amulya Das6, Rajiv Raman6, Chaitra Jayadev7, Kushagra Jain7, Andres Rousselot8, Martina Larroude9, Fernando Jorge Scattini9, Patricia Atenor10, Diana Salz10, Eli Pradhan11, Dr Ben Limbu11, Dr Hom Gurung11, Dr Anadi Khatri12, Mehul Shah13, Shakeen Singh14, Anureet Kaur14, Anurag Mittal15, A. K Grover15, Rekha Khandelwal16, S Natarajan17, Dr Akshay Nair17, Dinesh Visva Gunasekeran3, Fasika Woreta18, Lisa Keay19, 20, Stephanie L Watson1, Rupesh Agrawal31The University of Sydney, Save Sight Institute, Discipline of Ophthalmology, Sydney Medical School, Sydney, New South Wales, Australia2Lions Eye Institute, The University of Western Australia, Perth. Australia3National Healthcare Group Eye Institute at Tan Tock Seng Hospital, Singapore4The Rotterdam Eye Hospital, Rotterdam, Netherlands5Aravind Eye Hospital, Madurai, India6Sankara Nethralaya, Chennai, India7Narayana Nethralaya Eye Institute, Bangalore, India8Universidad del Salvador, Ophthalmology Department, Buenos Aires, Argentina9Hospital Oftalmológico Dr PEDRO Lagleyze, Buenos Aires, Argentina10Hospital Oftalmológico Santa Lucía, Buenos Aires, Argentina11Tilganga Institute of Ophthalmology, Nepal12Birat Eye Hospital, Biratnagar, Nepal13Drashti Netralaya, Dahod, India14Shakeen Singh Eye Hospital, Amritsa, India15Sir Ganga Ram Hospital, New Delhi, India16NKP Save Institute of Medical Sciences, Nagpur, India17Aditya Jyot Eye Hospital, Mumbai, India18Wilmer Eye Institute, Johns Hopkins University School of Medicine, Maryland, USA19University of New South Wales, Sydney, Australia20The George Institute, Sydney, Australia
Funding Information:
Annette Hoskin is the recipient of an NHMRC PhD Scholarship. Stephanie Watson is a Sydney Medical School Foundation Fellow. Lisa Keay has an NHMRC Career Development Fellowship. These funding organizations had no role in the design or conduct of this research
Publisher Copyright:
© 2021, The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.
PY - 2022/1
Y1 - 2022/1
N2 - 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.
AB - 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.
KW - Fireworks
KW - Ocular trauma
KW - Vision loss
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U2 - 10.1007/s00417-021-05284-z
DO - 10.1007/s00417-021-05284-z
M3 - Article
C2 - 34453604
AN - SCOPUS:85123649058
SN - 0721-832X
JO - Graefe's Archive for Clinical and Experimental Ophthalmology
JF - Graefe's Archive for Clinical and Experimental Ophthalmology
ER -