Ocular injuries from fireworks: the 11-year experience of a US level I trauma center

It, Chang; Prendes, M. A. González; Kj, Tarbet; Aj, Amadi; Chang, S. H.; Ss, Shaftel

doi:10.1038/eye.2016.104

Cited by 46 publications

(74 citation statements)

References 23 publications

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“…A recent study from a US‐based level I trauma centre on ocular injuries from fireworks (over a period of 11 years) accounted for 327 patients but only 100 sustained ocular injuries (31%) (Chang et al. ). The reason for the higher number of firework‐related injury in the Netherlands is speculative.…”

Section: Discussionmentioning

confidence: 99%

“…A recent study in the United States of America showed that ocular injuries comprised 31% of all firework‐related traumas occurring around the Independence Day on the 4th of July (Chang et al. ). Wisse et al.…”

Section: Introductionmentioning

confidence: 99%

“…Across Europe, ocular damage is seen inon average -21.8% of injuries, ranging from 16% to 45% (Wisse et al 2010). A recent study in the United States of America showed that ocular injuries comprised 31% of all firework-related traumas occurring around the Independence Day on the 4th of July (Chang et al 2016). Wisse et al (2010) reported that in developing and developed countries 22% of overall eye injuries result from the use of fireworks, which therefore are a major cause of visual disability.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Type, severity, management and outcome of ocular and adnexal firework‐related injuries: the Rotterdam experience

Frimmel

Faber

Wubbels

et al. 2018

Acta Ophthalmologica

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Type, severity, management and outcome of ocular and adnexal firework‐related injuries: the Rotterdam experience

Frimmel

Faber

Wubbels

et al. 2018

Acta Ophthalmologica

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“…Weltweit entstehen an Silvester und anderen Feiertagen durch Feuerwerks-und Knallkörper schwere Verletzungen [3,11,14,15,19]. Besonders häufig betroffen sind dabei junge Männer [4,7,17,23], die Verletzungen v. a. an den Händen, dem Gesicht und den Augen erleiden [4,17]. Zudem werden nach einer Metaanalyse von internationalen Studien zu Augenverletzungen durch Feuerwerkskörper in rund der Hälfte der Fälle Unbeteiligte, sog.…”

Section: Diskussionunclassified

Dreijahresergebnisse der deutschlandweiten Umfrage zu Augenverletzungen durch Feuerwerkskörper

Gabel-Pfisterer

Böhringer²,

Agostini

et al. 2019

Ophthalmologe

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Zusammenfassung Hintergrund Weltweit entstehen an Feiertagen schwere Augenverletzungen durch Feuerwerkskörper. Die Datenlage für Deutschland ist bislang unklar. Fragestellung Wie häufig entstehen solche Verletzungen in Deutschland, wer ist gefährdet, wie schwer sind die Verletzungen, welche Therapien erfordern sie, und wie häufig treten Begleitverletzungen auf? Methode Deutschlandweite standardisierte Online-Umfrage an bettenführenden, notdienstleistenden Augenkliniken und Auswertung der Ergebnisse über 3 Jahre. Ergebnisse Die Beteiligung konnte von 2016 bis 2019 von 41 auf 51 Augenkliniken gesteigert werden. Von 1356 Patienten war mehr als ein Drittel (33–39 %) minderjährig, rund 60 % 25 Jahre oder jünger und rund 60 % Bystander. Ein Viertel der Verletzungen war schwer und erforderte eine stationäre Therapie. Begleitverletzungen am Partnerauge, an Händen und Gesicht waren bei Minderjährigen häufiger als bei Erwachsenen. Bulbusrupturen wurden bei 10 Kindern und 38 Erwachsenen dokumentiert. Schlussfolgerungen Vor allem Minderjährige und Zuschauer müssen besser geschützt werden.

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“…Ocular trauma is one of the most common, visionthreatening presentations seen by emergency physicians (EP). 1,2 Complications include bleeding, infection, vision loss, loss of the eye and, rarely, sympathetic ophthalmia. 1 Emergency management strategies differ depending on the type, size, and site of penetration; however, timely imaging, adequate sedation, proper antibiotic, and early antiinflammatory treatment can reduce morbidity and permanent vision loss.…”

Section: Introductionmentioning

confidence: 99%

Removal of an Impaled Intraocular Hair Comb Following Self-inflicted Trauma

Markovitz

Hamburger

Fromm

et al. 2020

Clinical Practice and Cases in Emergency Medicine

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Ocular trauma is one of the most common and vision-threatening ophthalmic presentations with a wide spectrum of complications, such as bleeding, infection, vision loss, and enucleation. A 64-year-old-male presented to the emergency department (ED) with a self-inflicted orbital penetrating injury with a hair comb. Computed tomography showed the comb traversed the medial orbit inferior to the medial rectus but did not damage the optic nerve; there were no globe or orbital wall fractures. His ocular exam was significant for a right eye afferent pupillary defect and decreased visual acuity 20/800, consistent with optic neuropathy. Primary concerns were stabilizing and removing the foreign body without causing further damage in the setting of an uncooperative patient. The comb was removed with the aid of local and systemic analgesia using gentle traction and normal saline irrigation. The patient was admitted for systemic and topical antibiotics and showed improvement in visual acuity and resolution of his optic neuropathy. This case illustrates the importance of rapid ED assessment and management of complex penetrating ocular trauma. Examination should specifically look for signs of globe rupture and optic nerve injury. Expedited foreign body removal should be managed together with an ophthalmologist with procedural sedation and broad-spectrum antibiotics to avoid further visual and infectious complications.

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Ocular injuries from fireworks: the 11-year experience of a US level I trauma center

Cited by 46 publications

References 23 publications

Type, severity, management and outcome of ocular and adnexal firework‐related injuries: the Rotterdam experience

Type, severity, management and outcome of ocular and adnexal firework‐related injuries: the Rotterdam experience

Dreijahresergebnisse der deutschlandweiten Umfrage zu Augenverletzungen durch Feuerwerkskörper

Removal of an Impaled Intraocular Hair Comb Following Self-inflicted Trauma

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