Eye injuries from fireworks used during celebrations and associated vision loss: the international globe and adnexal trauma epidemiology study (IGATES)
العنوان: | Eye injuries from fireworks used during celebrations and associated vision loss: the international globe and adnexal trauma epidemiology study (IGATES) |
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المؤلفون: | Jan Tjeerd de Faber, Stephanie L Watson, Pradeep Susvar, Andres Rousselot, Rebecca Low, Chitaranjan Mishra, Fasika A. Woreta, Eli Pradhan, Rupesh Agrawal, Lisa Keay, Annette K Hoskin |
المصدر: | Graefe's Archive for Clinical and Experimental Ophthalmology. 260:371-383 |
بيانات النشر: | Springer Science and Business Media LLC, 2021. |
سنة النشر: | 2021 |
مصطلحات موضوعية: | Pediatrics, medicine.medical_specialty, genetic structures, business.industry, Lens injury, Mean age, Ocular trauma, Eye care, medicine.disease, eye diseases, Sensory Systems, Eye injuries, Cellular and Molecular Neuroscience, Ophthalmology, medicine, Trauma epidemiology, business, Male predominance |
الوصف: | 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. |
تدمد: | 1435-702X 0721-832X |
DOI: | 10.1007/s00417-021-05284-z |
URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_________::ff2dc868701b6d399b43383696008b23 https://doi.org/10.1007/s00417-021-05284-z |
Rights: | CLOSED |
رقم الانضمام: | edsair.doi...........ff2dc868701b6d399b43383696008b23 |
قاعدة البيانات: | OpenAIRE |
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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). 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