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


Journal

Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie
ISSN: 1435-702X
Titre abrégé: Graefes Arch Clin Exp Ophthalmol
Pays: Germany
ID NLM: 8205248

Informations de publication

Date de publication:
Jan 2022
Historique:
received: 23 02 2021
accepted: 11 06 2021
revised: 31 05 2021
pubmed: 29 8 2021
medline: 20 1 2022
entrez: 28 8 2021
Statut: ppublish

Résumé

To report on the factors associated with severe vision loss from fireworks-related ocular trauma during celebrations, including festivals. 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. 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. 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.

Identifiants

pubmed: 34453604
doi: 10.1007/s00417-021-05284-z
pii: 10.1007/s00417-021-05284-z
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

371-383

Investigateurs

Annette Hoskin (A)
Rebecca Low (R)
Jan Tjeerd de Faber (JT)
Chitaranjan Mishra (C)
Kim Ramasamy (K)
Dhipak A Balasubramanian (DA)
Parveen Sen (P)
Pradeep Susvar (P)
Amulya Das (A)
Rajiv Raman (R)
Chaitra Jayadev (C)
Kushagra Jain (K)
Andres Rousselot (A)
Martina Larroude (M)
Fernando Jorge Scattini (FJ)
Patricia Atenor (P)
Diana Salz (D)
Eli Pradhan (E)
Ben Limbu (B)
Hom Gurung (H)
Anadi Khatri (A)
Mehul Shah (M)
Shakeen Singh (S)
Anureet Kaur (A)
Anurag Mittal (A)
A K Grover (AK)
Rekha Khandelwal (R)
S Natarajan (S)
Akshay Nair (A)
Dinesh Visva Gunasekeran (DV)
Fasika Woreta (F)
Lisa Keay (L)
Stephanie L Watson (SL)
Rupesh Agrawal (R)

Commentaires et corrections

Type : ErratumIn

Informations de copyright

© 2021. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.

Références

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Auteurs

Annette K Hoskin (AK)

Save Sight Institute, Discipline of Ophthalmology, Sydney Medical School, The University of Sydney, Sydney, New South Wales, Australia.
Lions Eye Institute, The University of Western Australia, Perth, Australia.

Rebecca Low (R)

National Healthcare Group Eye Institute at Tan Tock Seng Hospital, Singapore, 308433, Singapore.

Jan Tjeerd de Faber (JT)

The Rotterdam Eye Hospital, Rotterdam, Netherlands.

Chitaranjan Mishra (C)

Aravind Eye Hospital, Madurai, India.

Pradeep Susvar (P)

Sankara Nethralaya, Chennai, India.

Eli Pradhan (E)

Tilganga Institute of Ophthalmology, Kathmandu, Nepal.

Andres Rousselot (A)

Ophthalmology Department, Universidad del Salvador, Buenos Aires, Argentina.

Fasika A Woreta (FA)

Wilmer Eye Institute, Johns Hopkins University School of Medicine, Baltimore, MD, USA.

Lisa Keay (L)

School of Optometry and Vision Science, UNSW, Sydney, Australia.
The George Institute for Global Health, UNSW, Sydney, Australia.

Stephanie L Watson (SL)

Save Sight Institute, Discipline of Ophthalmology, Sydney Medical School, The University of Sydney, Sydney, New South Wales, Australia.

Rupesh Agrawal (R)

National Healthcare Group Eye Institute at Tan Tock Seng Hospital, Singapore, 308433, Singapore. Rupesh_agrawal@ttsh.com.sg.

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