Ben Ishai Meydan, Schaap Fogler Michal, Ehrlich Rita, Geffen Noa, Gal-Or Orly, Bahar Irit, Dotan Gad
Department of Ophthalmology, Rabin Medical Center (Beilinson Campus), Petah Tikva, Israel.
Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
Isr Med Assoc J. 2021 Nov;23(11):703-707.
Eye trauma is an unfortunate and often preventable cause of vision loss. Confetti cannons are common causes of injury. Awareness of ocular hazards of confetti cannons remains low because of limited reports describing ophthalmic injuries following their use.
To describe outcomes of ocular trauma caused by confetti cannons and to increase recognition of their ocular risks.
A retrospective analysis was conducted of eye injuries caused by confetti cannons presenting to a single medical center between 2016 and 2020. Data collected included age, gender, eye injured, ocular damage, visual outcome, and details of surgeries performed.
Overall, six consecutive patients (2 males, mean age 19.5 ± 9.74 years) were identified and studied. In all patients only one eye was injured (3 right eyes) during a private celebration, most commonly (n=5) to a bystander while in the vicinity of a cannon operated by someone else. Most common eye injuries included corneal erosion (n=4), traumatic hyphema (n=4), and retinal edema (n=3). Mean initial logMAR visual acuity in the injured eye was 0.73 ± 0.18, improving to 0.25 ± 0.16 at the final visit (P = 0.125). Two patients underwent eye surgery due to their trauma: one to repair globe penetration and another to undergo intravitreal injection of tissue plasminogen activator and C3F8 for submacular hemorrhage, followed 8 months later by intravitreal bevacizumab injection for choroidal neovascularization.
Confetti cannons pose hazards that can cause severe ocular trauma resulting in permanent vision loss. Increasing awareness of device hazards is necessary to prevent eye injuries.
眼外伤是导致视力丧失的一个不幸且往往可预防的原因。五彩纸屑礼炮是常见的致伤原因。由于描述使用五彩纸屑礼炮后眼部损伤的报告有限，人们对其眼部危害的认识仍然较低。
描述五彩纸屑礼炮所致眼外伤的结局，并提高对其眼部风险的认识。
对2016年至2020年期间在单一医疗中心就诊的五彩纸屑礼炮所致眼外伤进行回顾性分析。收集的数据包括年龄、性别、受伤眼别、眼损伤情况、视力结局以及所进行手术的详细信息。
总体而言，共确定并研究了6例连续患者（2例男性，平均年龄19.5±9.74岁）。所有患者均仅一只眼受伤（3例右眼），受伤发生在私人庆祝活动期间，最常见的情况（n = 5）是在他人操作礼炮时，患者作为旁观者在附近而受伤。最常见的眼部损伤包括角膜糜烂（n = 4）、外伤性前房积血（n = 4）和视网膜水肿（n = 3）。受伤眼的初始平均对数最小分辨角视力为0.73±0.18，末次随访时提高至0.25±0.16（P = 0.125）。2例患者因外伤接受了眼科手术：1例进行眼球穿透伤修复，另1例因黄斑下出血接受玻璃体内注射组织纤溶酶原激活剂和C3F8，8个月后因脉络膜新生血管形成接受玻璃体内注射贝伐单抗。
五彩纸屑礼炮存在危险，可导致严重的眼外伤，造成永久性视力丧失。提高对该装置危害的认识对于预防眼外伤很有必要。
