Kuhn F C, Morris R C, Witherspoon D C, Mann L, Mester V, Módis L, Berta A, Bearden W
United States Eye Injury Registry, University of Alabama, Birmingham 35205, USA.
Ophthalmic Epidemiol. 2000 Jun;7(2):139-48.
To analyze and compare epidemiological and clinical information on serious fireworks-related eye injuries from two affiliates of the United States Eye Injury Registry.
Retrospective review.
In the Eye Injury Registry of Alabama (EIRA) database, 185 of the 4150 injuries (4.4%) were caused by fireworks. In the Hungarian Eye Injury Registry database, only two of the 1245 cases (0.1%, p=0.000001) were fireworks-related. In the EIRA, 79% of patients were males and 87% were under 31 years. A bystander was injured in 67% of the cases, being an average of 23 feet away; 39% of bystanders had a final vision < or =19/200. No injured person wore eye protection. Bottle rockets caused 80% of the 185 injuries. Overall, 20% of eyes had <5/200 final visual acuity. Twenty-five percent of bottle rocket-injured eyes, compared to 64% of those injured by other devices, had > or =20/40 final vision (p=0. 000004). CONCLUSIONS. The rate of fireworks-related serious eye injuries has not decreased in Alabama in the last 16 years; most patients are young males. Since bystanders are at a measurable risk even at a distance of 100 feet, wearing eye protection is recommended to both bystanders and operators. Bottle rockets cause most of the injuries and the more severe ones, and should be the prime target for prevention. The benefit of a strict and enforced legislative ban on private fireworks displays is demonstrated by the much lower incidence figure in Hungary. Such a ban should be considered in other countries where fireworks-related eye injuries are common.
分析并比较美国眼外伤登记处两个分支机构关于严重烟花相关眼外伤的流行病学和临床信息。
回顾性研究。
在阿拉巴马眼外伤登记处（EIRA）数据库中，4150例损伤中有185例（4.4%）由烟花导致。在匈牙利眼外伤登记处数据库中，1245例病例中只有2例（0.1%，p = 0.000001）与烟花有关。在EIRA中，79%的患者为男性，87%年龄在31岁以下。67%的病例中旁观者受伤，平均距离为23英尺；39%的旁观者最终视力≤19/200。所有伤者均未佩戴眼部防护装置。185例损伤中有80%由冲天炮导致。总体而言，20%的眼睛最终视力<5/200。与其他装置致伤的眼睛相比，25%的冲天炮致伤眼睛最终视力≥20/40，而其他装置致伤眼睛的这一比例为64%（p = 0.000004）。结论：在过去16年中，阿拉巴马州与烟花相关的严重眼外伤发生率并未下降；大多数患者为年轻男性。由于即使距离100英尺旁观者也有可测量的风险，建议旁观者和操作人员都佩戴眼部防护装置。冲天炮导致了大多数损伤以及更严重的损伤，应作为预防的主要目标。匈牙利的发病率低得多，证明了对私人烟花燃放实施严格且强制的立法禁令的益处。在烟花相关眼外伤常见的其他国家应考虑实施此类禁令。
