Department of Ophthalmology, Fundação Altino Ventura, Recife, PE, Brazil.
Department of Ophthalmology, Universidade Federal de Pernambuco, Recife, PE, Brazil.
Arq Bras Oftalmol. 2023 Oct 13;87(6):e20220205. doi: 10.5935/0004-2749.2022-0205. eCollection 2023.
This study aimed to describe the demographic and clinical characteristics of victims of fireworkrelated ocular trauma treated at the ophthalmologic emergency de partments of two reference centers in Pernambuco, Brazil, and to identify risk factors related to poor visual prognosis.
We retrospectively evaluated the medical records of patients admitted in emergency departments with a report of firework-related trauma between January 2012 and December 2018. Data collected included patient's age, sex, place of origin, month and year of the accident, ocular structures affected, characteristics of the injuries, and type of treatment that patients received. For patients who were followed for >30 days, the final visual acuity and patient's origin were analyzed.
Three hundred and seventy eyes from 314 patients were included, of which 248 (79.0%) were male and 160 (51.0%) were from the metropolitan region of Recife. The mean patient age was 25.6 ± 18.8 years. In 56 (17.8%) patients, the ocular trauma was bilateral. A total of 152 (48.4%) cases occurred in June. The most affected sites were the eyelids in 91 (24.6%) eyes and ocular surface in 252 (68.1%). Surgical treatment was required in 87 (23.5%) eyes. After clinical and surgical management, 37 (10.0%) eyes presented final visual acuity of <20/400. Of these, 34 (91.9%) eyes were from patients from the countryside or from another state. Patients from the countryside presented higher risk of developing blindness after a firework trauma than those from the metropolitan area (odds ratio of 5.46).
Victims of firework-related ocular trauma were mostly male, from the metropolitan region of Pernambuco state and mainly pediatric patients or economically active. Those coming from the countryside and other states had higher risk of developing blindness.
本研究旨在描述在巴西伯南布哥州两个参考中心的眼科急诊部门接受治疗的烟花相关眼外伤患者的人口统计学和临床特征，并确定与不良视力预后相关的危险因素。
我们回顾性评估了 2012 年 1 月至 2018 年 12 月期间因烟花伤就诊于急诊部门的患者的病历。收集的数据包括患者的年龄、性别、原籍地、事故发生的月份和年份、受影响的眼部结构、损伤特征以及患者接受的治疗类型。对于随访时间超过 30 天的患者，分析最终视力和患者原籍地。
共纳入 314 例患者的 370 只眼，其中 248 例（79.0%）为男性，160 例（51.0%）来自累西腓大都市区。患者平均年龄为 25.6 ± 18.8 岁。56 例（17.8%）患者为双眼外伤。152 例（48.4%）发生在 6 月。最常受累的部位是眼睑 91 只眼（24.6%）和眼表 252 只眼（68.1%）。87 只眼（23.5%）需要手术治疗。经过临床和手术治疗后，37 只眼（10.0%）的最终视力<20/400。其中 34 只眼（91.9%）来自农村或其他州的患者。与大都市区的患者相比，来自农村的患者烟花伤后失明的风险更高（比值比为 5.46）。
烟花相关眼外伤患者主要为男性，来自伯南布哥州大都市区，主要为儿童或经济活跃人群。来自农村和其他州的患者失明风险更高。
