Annette K Hoskin1,2, Rebecca Low3, Jan Tjeerd de Faber4, Chitaranjan Mishra5, Pradeep Susvar6, Eli Pradhan7, Andres Rousselot8, Fasika A Woreta9, Lisa Keay10,11, Stephanie L Watson1, Rupesh Agrawal12. 1. Save Sight Institute, Discipline of Ophthalmology, Sydney Medical School, The University of Sydney, Sydney, New South Wales, Australia. 2. Lions Eye Institute, The University of Western Australia, Perth, Australia. 3. National Healthcare Group Eye Institute at Tan Tock Seng Hospital, Singapore, 308433, Singapore. 4. The Rotterdam Eye Hospital, Rotterdam, Netherlands. 5. Aravind Eye Hospital, Madurai, India. 6. Sankara Nethralaya, Chennai, India. 7. Tilganga Institute of Ophthalmology, Kathmandu, Nepal. 8. Ophthalmology Department, Universidad del Salvador, Buenos Aires, Argentina. 9. Wilmer Eye Institute, Johns Hopkins University School of Medicine, Baltimore, MD, USA. 10. School of Optometry and Vision Science, UNSW, Sydney, Australia. 11. The George Institute for Global Health, UNSW, Sydney, Australia. 12. National Healthcare Group Eye Institute at Tan Tock Seng Hospital, Singapore, 308433, Singapore. Rupesh_agrawal@ttsh.com.sg.
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.
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.
Authors: Julie M Crewe; Nigel Morlet; William H Morgan; Katrina Spilsbury; Aqif S Mukhtar; Antony Clark; James B Semmens Journal: Br J Ophthalmol Date: 2013-10-11 Impact factor: 4.638
Authors: Julie M Crewe; Geoff Lam; Antony Clark; Katrina Spilsbury; Aqif S Mukhtar; Nigel Morlet; William H Morgan; Margaret Crowley; James B Semmens Journal: Clin Exp Ophthalmol Date: 2013-04-11 Impact factor: 4.207