Unterlauft J D, Wiedemann P, Meier P
Klinik & Poliklinik für Augenheilkunde, Universitätsklinikum Leipzig.
Klin Monbl Augenheilkd. 2014 Sep;231(9):915-20. doi: 10.1055/s-0034-1368376. Epub 2014 May 8.
Fireworks combusted during New Year's Eve festivities can cause different eye traumas which often need complex reconstructive surgery. It was our aim to systematically analyse these eye trauma cases which were treated at our clinic during the last eight years.
Age, gender, side, trauma mechanism, treatment methods and outcome were analysed for all eye trauma cases caused by fireworks during the New Year's Eve celebrations from 2006 to 2013. For statistical analysis all trauma cases were divided into two groups of major and non-major eye trauma.
The total number of patients treated was 122 (28 women, 94 men, mean age 26.2±13.0 years) with 137 traumatised eyes (77 right, 60 left). 24.6% of patients were ≤18 years of age. 76.2% were bystanders. 50 eyes from 46 patients (37.7%) suffered from major eye trauma. 26 patients (21.3%) were hospitalised. 8 eyes (5.8%) suffered from a penetrating injury or globe rupture and underwent primary reconstructive surgery. Further 16 eyes (11.7%) suffered from major eye trauma without open globe injury. In the aftermath 11 eyes (8.0%) went blind (visual acuity<1/50). Gender, side and role of the patient were not significantly different between the two groups. Mean age was significantly higher in the major eye trauma group (p=0.01).
Young male bystanders have a high risk for suffering from eye trauma caused by fireworks. However older patients suffer from major eye trauma more often. More education and prophylaxis of eye trauma caused by fireworks is desirable.
除夕夜庆祝活动中燃放的烟花可导致不同类型的眼外伤，这类眼外伤往往需要进行复杂的重建手术。我们的目的是系统分析过去八年在我们诊所接受治疗的这些眼外伤病例。
分析了2006年至2013年除夕夜庆祝活动期间因烟花导致的所有眼外伤病例的年龄、性别、伤眼侧别、外伤机制、治疗方法及预后。为进行统计分析，所有外伤病例被分为严重眼外伤和非严重眼外伤两组。
共治疗患者122例（女性28例，男性94例，平均年龄26.2±13.0岁），受伤眼睛137只（右眼77只，左眼60只）。24.6%的患者年龄≤18岁。76.2%为旁观者。46例患者的50只眼睛（37.7%）遭受严重眼外伤。26例患者（21.3%）住院治疗。8只眼睛（5.8%）发生穿透伤或眼球破裂并接受了一期重建手术。另有16只眼睛（11.7%）遭受严重眼外伤但无眼球开放性损伤。最终，11只眼睛（8.0%）失明（视力<1/50）。两组患者在性别、伤眼侧别及患者角色方面无显著差异。严重眼外伤组的平均年龄显著更高（p=0.01）。
年轻男性旁观者遭受烟花所致眼外伤的风险较高。然而，老年患者更常遭受严重眼外伤。加强对烟花所致眼外伤的教育和预防很有必要。
