Ocular burns and related injuries due to fireworks during the Aidil Fitri celebration on the East Coast of the Peninsular Malaysia

Rashid, Rasdi Abd; Heidary, Fatemeh; Hussein, Adil; Hitam, Wan Hazabbah Wan; Rashid, Rohana Abd; Ghani, Zulkifli Abd; Omar, Nor Anita Che; Mustari, Zuraidah; Shatriah, Ismail

doi:10.1016/j.burns.2010.05.019

Cited by 29 publications

(29 citation statements)

References 9 publications

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“…The gender difference of the study is in line with the results of previous studies, all of which had reported males as the high-risk group for such injuries. [1,5,7,[12][13][14][15][16][17] Sixteen (73%) of patients were the active participants while six patients (27%) were bystanders, which is not con- sistent with previous studies. [7,14,17] We conclude that active participants are more easily injured than bystanders.…”

Section: Discussionsupporting

confidence: 45%

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Ocular trauma score in transferred fireworks-related ocular injuries: a case series

Liu

Huang²,

Jiang³

et al. 2012

Ulus Travma Acil Cerrahi Derg

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AMAÇBu çalışmada amacımız, taşınan havai fişekle ilgili okü-ler hasar özelliklerini gözden geçirmek ve bu yaralanmalar için oküler travma skorunun (OTS) prognostik değeri-ni araştırmaktır. GEREÇ VE YÖNTEMBu çalışmaya, 22 taşınan hasta (19 erkek, 3 kadın; ortalama yaş, 22.6±14.9 yaş) (25 göz) alındı. Coğrafya özellik-leri, havai fişek tipleri, yaralanma durumu, terapötik prosedürler ve en iyi düzeltmiş görme keskinliği (BCVA) ile ilgili karakteristikleri içeren veriler geriye dönük değerlendiril-di. Yaralanan bütün gözler, ilk inceleme sırasında OTS kullanılarak sınıflandırıldı. BULGULARYirmi göz (%80) OTS kategori 1, üç göz (%12) OTS kategori 2 ve iki göz (%8) OTS kategori 3 olarak değerlendiril-di. Bütün olgular cerrahi tedavi aldı. Altı göz (%24) enükle idi, bunların dördünde (%16) son BCVA'larında bir düzel-me oldu. OTS kategori 1 ile diğer iki OTS kategorisi arasında son BCVA'da istatistiksel olarak anlamlı bir düzelme oldu (p=0,016). SONUÇTaşınan havai fişek ile ilişkili oküler yaralanma olguları, esas olarak genç erişkinler, erkekler ile aktif katılımcılar-da oluşmuş ve hepsi de ciddi görme kaybı ve körlüğe maruz kalmıştır. OTS, taşınan havai fişek ile ilişkili oküler yaralanmaların durumunun sınıflandırılmasında ve prognozunun tahmin edilmesinde oldukça etkindir.Anahtar Sözcükler: Havai fişek; oküler yaralanma; taşınma; skorlar; prognoz; oküler travma skoru (OTS). BACKGROUNDOur aim was to review the characteristics of transferred fireworks-related ocular damage and to evaluate the prognostic value of the ocular trauma score (OTS) for these injuries. METHODSThis study included 22 transferred patients (19 male, 3 female; mean age 22.6±14.9 years) (25 eyes). The data were retrospectively reviewed, including the characteristics of the geography, types of fireworks, status of injuries, therapeutic procedures, and the best-corrected visual acuity (BCVA). All the injured eyes were classified using the OTS at the time of the initial examination. RESULTSTwenty eyes (80%) were in OTS category 1, three eyes (12%) were in OTS category 2, and two eyes (8%) were in OTS category 3. All cases received surgical therapy. Six eyes (24%) were enucleated, four (16%) of which achieved an improvement in their final BCVA. There was a statistically significant improvement in final BCVA between OTS category 1 and the other two OTS categories (p=0.016). CONCLUSIONThe aforementioned transferred fireworks-related ocular injury cases occurred mainly in young adults, men and active participants, all of which incurred serious vision loss and blindness. The OTS is quite effective for classifying the status and estimating the prognosis of transferred fireworks-related ocular injuries.

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Section: Discussionsupporting

confidence: 45%

“…[1,5,7,[12][13][14][15][16][17] Sixteen (73%) of patients were the active participants while six patients (27%) were bystanders, which is not con- sistent with previous studies. [7,14,17] We conclude that active participants are more easily injured than bystanders.…”

Section: Discussionmentioning

confidence: 42%

Ocular trauma score in transferred fireworks-related ocular injuries: a case series

Liu

Huang²,

Jiang³

et al. 2012

Ulus Travma Acil Cerrahi Derg

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“…As such, firework-related injuries are common around the time of these occasions, such as Diwali in India, the Spring festival in China and Aidil Fitri celebration in Malaysia. 13,14,17 In the United States, consumers are estimated to spend over $600 million dollars on fireworks during 4 July each year. 20 Given the highly incendiary and explosive nature of fireworks, their use is often associated with serious injury and cost to society.…”

Section: Discussionmentioning

confidence: 99%

“…1,5 Similar to prior studies, the majority of firework-related ocular injuries affected young males, an average age of 24 years, and a significant proportion (35%) of all ocular injuries occurred in children. 1,[5][6][7][8][9][11][12][13][14]18,24,28 The ocular injuries varied in presentation and severity. A significant proportion of these injuries resulted in permanent vision loss, with the mean Snellen visual acuity of~20/1000 at presentation.…”

Section: Discussionmentioning

confidence: 99%

“…[4][5][6]10 Current precise data regarding the types of injuries and outcomes of patients affected by eye injuries from fireworks are lacking in the United States, but has been reported in other countries. 2,[5][6][7][8][11][12][13][14][15][16][17][18] The purpose of this study is to better characterize the clinical features, outcomes, and management patterns of ocular trauma from fireworks in the United States through the creation of the most comprehensive data set published to date. We performed a retrospective chart review of 327 patients presenting to our level I trauma center over an 11-year period.…”

Section: Introductionmentioning

confidence: 99%

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

Prendes

et al. 2016

Eye

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Local Firework Restrictions and Ocular Trauma

Harrison,

Yee,

Sundararajan

et al. 2024

JAMA Ophthalmol

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ImportanceFireworks can cause vision-threatening injuries, but the association of local legislation with the mitigation of these injuries is unclear.ObjectiveTo evaluate the odds of firework-related ocular trauma among residents of areas where fireworks are permitted vs banned.Design, Setting, and ParticipantsThis case-control study was conducted at a level 1 trauma center in Seattle, Washington, among 230 patients presenting with ocular trauma in the 2 weeks surrounding the Independence Day holiday, spanning June 28 to July 11, over an 8-year period (2016-2022).ExposuresFirework ban status of patient residence.Main Outcomes and MeasuresOdds of firework-related injuries among residents of areas where fireworks are legal vs where they are banned, calculated as odds ratios (ORs) and 95% CIs.ResultsOf 230 consultations for ocular trauma during the study period, 94 patients (mean [SD] age, 25 [14] years; 86 male patients [92%]) sustained firework-related injuries, and 136 (mean [SD] age, 43 [23] years; 104 male patients [77%]) sustained non–firework-related injuries. The odds of firework-related ocular trauma were higher among those living in an area where fireworks were legal compared with those living in an area where fireworks were banned (OR, 2.0 [95% CI, 1.2-3.5]; P = .01). In addition, the odds of firework injuries were higher for patients younger than 18 years (OR, 3.1 [95% CI, 1.7-5.8]; P &lt; .001) and for male patients (OR, 3.3 [95% CI, 1.5-7.1]; P = .004). Firework injuries were more likely to be vision threatening (54 of 94 [57%]) compared with non–firework-related injuries (54 of 136 [40%]; OR, 2.1 [95% CI, 1.2-3.5]; P = .01).Conclusions and RelevanceThis case-control study suggests that the odds of firework-related ocular trauma were slightly higher among residents of areas where fireworks were legal compared with residents of areas where fireworks were banned. Although these results suggest that local firework bans may be associated with a small reduction in the odds of firework-related ocular trauma, additional studies are warranted to assess what actions might lead to greater reductions.

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Ocular burns and related injuries due to fireworks during the Aidil Fitri celebration on the East Coast of the Peninsular Malaysia

Cited by 29 publications

References 9 publications

Ocular trauma score in transferred fireworks-related ocular injuries: a case series

Ocular trauma score in transferred fireworks-related ocular injuries: a case series

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

Local Firework Restrictions and Ocular Trauma

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