Changing Trends in Firework-Related Eye Injuries in Southern China: A 5-Year Retrospective Study of 468 Cases

Firework-related eye injury is a horrible medical problem and creates huge health and social burdens. Herein, we explored the changing trends and demographic and clinical features of firework-related eye injury, in an effort to inform strategies to prevent this injury. We reviewed the data of 468 ho...

Full description

Saved in:
Bibliographic Details
Main Authors: Fangyu Wang, Bingsheng Lou, Zhaoxin Jiang, Yao Yang, Xinqi Ma, Xiaofeng Lin
Format: Article
Language:English
Published: Wiley 2020-01-01
Series:Journal of Ophthalmology
Online Access:http://dx.doi.org/10.1155/2020/6194519
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1849404069276286976
author Fangyu Wang
Bingsheng Lou
Zhaoxin Jiang
Yao Yang
Xinqi Ma
Xiaofeng Lin
author_facet Fangyu Wang
Bingsheng Lou
Zhaoxin Jiang
Yao Yang
Xinqi Ma
Xiaofeng Lin
author_sort Fangyu Wang
collection DOAJ
description Firework-related eye injury is a horrible medical problem and creates huge health and social burdens. Herein, we explored the changing trends and demographic and clinical features of firework-related eye injury, in an effort to inform strategies to prevent this injury. We reviewed the data of 468 hospitalized patients who underwent surgery for firework-related eye injury at the Zhongshan Ophthalmic Center between January 2013 and December 2017. During this period, the trend in firework-related eye injuries was stable (mean, 93 ± 14 cases per year), and fireworks were the major cause of explosive eye injury. The average age of the patients was 24 ± 18 years and 87% of the patients were male, with boys under 10 years of age comprising the largest group (27% of patients). There were an average of 24 ± 7 cases per year from urban areas and 70 ± 8 cases from rural areas (P<0.05). Furthermore, 21 ± 5% of cases occurred during Spring Festival. After treatment, the best corrected visual acuity was increased compared to that before treatment, and the intraocular pressure tended to become normal by the final visit (P<0.05). The top three diagnoses were cataract (39%), retinal detachment (18%), and choroidal detachment (14%). Additionally, the most common surgery was cataract extraction (25%), followed by pars plana vitrectomy (19%) and pars plana vitrectomy plus pars plana lensectomy (10%). Over the five-year study period, day surgery hospitalization increased from 1% to 32%. This was associated with a corresponding decrease in the length of hospitalization, without adverse events, demonstrating that day surgery is feasible in firework-related eye injury cases. The present study results suggest that greater attention should be paid to firework-related eye injury, and a variety of measures should be taken to prevent this kind of ocular tragedy.
format Article
id doaj-art-91175aafecfd4dd8b13be46bcb63a9da
institution Kabale University
issn 2090-004X
2090-0058
language English
publishDate 2020-01-01
publisher Wiley
record_format Article
series Journal of Ophthalmology
spelling doaj-art-91175aafecfd4dd8b13be46bcb63a9da2025-08-20T03:37:06ZengWileyJournal of Ophthalmology2090-004X2090-00582020-01-01202010.1155/2020/61945196194519Changing Trends in Firework-Related Eye Injuries in Southern China: A 5-Year Retrospective Study of 468 CasesFangyu Wang0Bingsheng Lou1Zhaoxin Jiang2Yao Yang3Xinqi Ma4Xiaofeng Lin5State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-Sen University, Guangzhou 510060, ChinaState Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-Sen University, Guangzhou 510060, ChinaState Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-Sen University, Guangzhou 510060, ChinaState Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-Sen University, Guangzhou 510060, ChinaState Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-Sen University, Guangzhou 510060, ChinaState Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-Sen University, Guangzhou 510060, ChinaFirework-related eye injury is a horrible medical problem and creates huge health and social burdens. Herein, we explored the changing trends and demographic and clinical features of firework-related eye injury, in an effort to inform strategies to prevent this injury. We reviewed the data of 468 hospitalized patients who underwent surgery for firework-related eye injury at the Zhongshan Ophthalmic Center between January 2013 and December 2017. During this period, the trend in firework-related eye injuries was stable (mean, 93 ± 14 cases per year), and fireworks were the major cause of explosive eye injury. The average age of the patients was 24 ± 18 years and 87% of the patients were male, with boys under 10 years of age comprising the largest group (27% of patients). There were an average of 24 ± 7 cases per year from urban areas and 70 ± 8 cases from rural areas (P<0.05). Furthermore, 21 ± 5% of cases occurred during Spring Festival. After treatment, the best corrected visual acuity was increased compared to that before treatment, and the intraocular pressure tended to become normal by the final visit (P<0.05). The top three diagnoses were cataract (39%), retinal detachment (18%), and choroidal detachment (14%). Additionally, the most common surgery was cataract extraction (25%), followed by pars plana vitrectomy (19%) and pars plana vitrectomy plus pars plana lensectomy (10%). Over the five-year study period, day surgery hospitalization increased from 1% to 32%. This was associated with a corresponding decrease in the length of hospitalization, without adverse events, demonstrating that day surgery is feasible in firework-related eye injury cases. The present study results suggest that greater attention should be paid to firework-related eye injury, and a variety of measures should be taken to prevent this kind of ocular tragedy.http://dx.doi.org/10.1155/2020/6194519
spellingShingle Fangyu Wang
Bingsheng Lou
Zhaoxin Jiang
Yao Yang
Xinqi Ma
Xiaofeng Lin
Changing Trends in Firework-Related Eye Injuries in Southern China: A 5-Year Retrospective Study of 468 Cases
Journal of Ophthalmology
title Changing Trends in Firework-Related Eye Injuries in Southern China: A 5-Year Retrospective Study of 468 Cases
title_full Changing Trends in Firework-Related Eye Injuries in Southern China: A 5-Year Retrospective Study of 468 Cases
title_fullStr Changing Trends in Firework-Related Eye Injuries in Southern China: A 5-Year Retrospective Study of 468 Cases
title_full_unstemmed Changing Trends in Firework-Related Eye Injuries in Southern China: A 5-Year Retrospective Study of 468 Cases
title_short Changing Trends in Firework-Related Eye Injuries in Southern China: A 5-Year Retrospective Study of 468 Cases
title_sort changing trends in firework related eye injuries in southern china a 5 year retrospective study of 468 cases
url http://dx.doi.org/10.1155/2020/6194519
work_keys_str_mv AT fangyuwang changingtrendsinfireworkrelatedeyeinjuriesinsouthernchinaa5yearretrospectivestudyof468cases
AT bingshenglou changingtrendsinfireworkrelatedeyeinjuriesinsouthernchinaa5yearretrospectivestudyof468cases
AT zhaoxinjiang changingtrendsinfireworkrelatedeyeinjuriesinsouthernchinaa5yearretrospectivestudyof468cases
AT yaoyang changingtrendsinfireworkrelatedeyeinjuriesinsouthernchinaa5yearretrospectivestudyof468cases
AT xinqima changingtrendsinfireworkrelatedeyeinjuriesinsouthernchinaa5yearretrospectivestudyof468cases
AT xiaofenglin changingtrendsinfireworkrelatedeyeinjuriesinsouthernchinaa5yearretrospectivestudyof468cases