The Rotterdam Eye Hospital, Rotterdam, The Netherlands.
Department of Ophthalmology, University Hospital Zurich, Zurich, Switzerland.
Acta Ophthalmol. 2018 Sep;96(6):607-615. doi: 10.1111/aos.13711. Epub 2018 Mar 13.
To study the type, severity, management and outcome of firework-related adnexal and ocular injuries during New Year's Eve festivities.
A retrospective analysis of 123 injured patients (143 eyes) treated at the Rotterdam Eye Hospital between 2009 and 2013. All ages were included and analysed according to age, gender, active participant or bystander, laterality, location, dimension and severity of injury. Outcome parameter was the final best-corrected visual acuity.
The mean age was 22 ± 13 years with 87% males and 53% bystanders. 52% were ≤18 years. There was a higher number of female than male bystanders (63% versus 51%, p = 0.30). 50% of the eyes sustained mild, 13% moderate and 37% severe trauma. Adults suffered more from severe injuries compared to children (42% versus 31%). The most frequent intervention was gunpowder removal (20%), followed by traumatic cataract surgery (12%) and amniotic membrane grafting (8%). 76% of patients were followed over 1 year. At the end of follow-up, 88 (61.5%) eyes had recovered fully, while 55 (38.5%) eyes suffered from persistent complications with reduced vision ≤0.8 in 30% of injured eyes. 15 patients (12%, 10 adults, five children) were considered legally blind (vision ≤0.1). Three (2%) eyes were subject to evisceration.
Every year, around New Year's Eve 30-45 victims were referred to the Rotterdam Eye Hospital; 50% sustained moderate-to-severe trauma. In severe firework injuries, patients required multiple treatments that may not prevent permanent blindness and/or functional/cosmetic disfigurement. The majority was bystander and younger than 18 years.
研究新年除夕期间与烟花有关的附件和眼部损伤的类型、严重程度、处理方法和转归。
回顾性分析 2009 年至 2013 年在鹿特丹眼科医院治疗的 123 名（143 只眼）受伤患者。所有年龄均纳入分析，并根据年龄、性别、主动参与者或旁观者、侧别、损伤位置、维度和严重程度进行分析。结局参数为最终最佳矫正视力。
平均年龄为 22±13 岁，男性占 87%，旁观者占 53%。52%的患者≤18 岁。女性旁观者的比例高于男性（63%比 51%，p=0.30）。50%的眼为轻度损伤，13%为中度损伤，37%为重度损伤。与儿童相比，成年人更易发生重度损伤（42%比 31%）。最常见的干预措施是清除火药（20%），其次是外伤性白内障手术（12%）和羊膜移植（8%）。76%的患者随访 1 年以上。随访结束时，88 只（61.5%）眼完全恢复，55 只（38.5%）眼持续存在并发症，30%的受伤眼中视力≤0.8。15 名患者（12%，10 名成人，5 名儿童）被认为是法定盲人（视力≤0.1）。3 只（2%）眼行眼内容剜除术。
每年新年前夕，约有 30-45 名患者被转诊至鹿特丹眼科医院；50%的患者为中重度损伤。在严重的烟花伤中，患者需要多次治疗，这可能无法防止永久性失明和/或功能/美容毁容。大多数为旁观者，且年龄小于 18 岁。
