TY  - JOUR
PY  - 2021//
TI  - Eye injuries from fireworks used during celebrations and associated vision loss: the international globe and adnexal trauma epidemiology study (IGATES)
JO  - Graefe's archive for clinical and experimental ophthalmology
A1  - Hoskin, Annette K.
A1  - Low, Rebecca
A1  - de Faber, Jan Tjeerd
A1  - Mishra, Chitaranjan
A1  - Susvar, Pradeep
A1  - Pradhan, Eli
A1  - Rousselot, Andres
A1  - Woreta, Fasika A.
A1  - Keay, Lisa
A1  - Watson, Stephanie L.
A1  - Agrawal, Rupesh
SP  - ePub
EP  - ePub
VL  - ePub
IS  - ePub
N2  - PURPOSE: To report on the factors associated with severe vision loss from fireworks-related ocular trauma during celebrations, including festivals. <br><br>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. <br><br>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. <br><br>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.<p />  <p>Language: en</p>
LA  - en
SN  - 0721-832X
UR  - http://dx.doi.org/10.1007/s00417-021-05284-z
ID  - ref1
ER  -