Sagarmatha Chaudhary Eye Hospital, Lahan, Siraha, Nepal.
Nepal J Ophthalmol. 2021 Jan;13(25):31-39. doi: 10.3126/nepjoph.v13i1.31246.
Firework-related ocular injuries are an important cause of preventable ocular injuries and are common during the festival season. Despite the strict legislation in Nepal, the use of a firework is still commonly used during Tihar and Chaath festivals.
To evaluate demographic distribution, mode, causative firework, type of fireworks-related ocular injuries, and visual outcome at a tertiary eye hospital in Eastern Nepal.
This is a hospital-based prospective interventional study. All the patients with firework-related injuries who attended the emergency and outpatient department of SCEH, Lahan, during or within 1 month of the festival season (Tihar and Chaath puja) were included in this study.
Total of 65 eyes were included. The left eye was involved in 49.1%, 82.5% were males. Mean age of the patients was 15.3±14.7 years (range 5yr - 75yr). Children less than 16 years were predominantly involved (77.2%). Firecrackers (56.1%) were the most common type of fireworks causing injury. The closed globe injuries were more (78.5%) compared to open globe injuries (21.5%). Surgical management was done in 50.9% of cases. Following management visual acuity of most patients improved. Only 8 eyes (12.3%) had visual acuity less than 3/60 after management compared to 28 eyes (43.1%) at the time of presentation.
Firework related ocular injuries are important causes of preventable blindness. A combined approach of public awareness about the possible dangers, preventive measures, early treatment by trained primary ophthalmic care, and implementation of strict legislations are essential to reduce blindness due to this preventable cause.
烟花相关的眼部损伤是可预防眼部损伤的重要原因，在节日期间很常见。尽管尼泊尔有严格的立法，但在提哈尔和恰特普贾节期间，仍然普遍使用烟花。
评估在尼泊尔东部的一家三级眼科医院，烟花相关眼部损伤的人口统计学分布、方式、致伤烟花、眼部损伤类型以及视力结果。
这是一项基于医院的前瞻性干预研究。本研究纳入了在节日期间（提哈尔和恰特普贾节）或节日过后 1 个月内在 SCEH 急诊和门诊就诊的所有烟花伤患者。
共纳入 65 只眼。左眼受累占 49.1%，男性占 82.5%。患者的平均年龄为 15.3±14.7 岁（范围 5 岁-75 岁）。16 岁以下的儿童占多数（77.2%）。爆竹（56.1%）是最常见的致伤烟花类型。闭合性眼球损伤（78.5%）多于开放性眼球损伤（21.5%）。50.9%的病例接受了手术治疗。经治疗后，大多数患者的视力得到改善。与就诊时的 28 只眼（43.1%）相比，只有 8 只眼（12.3%）在治疗后视力低于 3/60。
烟花相关眼部损伤是可预防失明的重要原因。通过公众宣传可能存在的危险、预防措施、经培训的初级眼科护理的早期治疗以及严格立法的实施，结合采取这些措施，对于减少这种可预防原因导致的失明至关重要。
