Sparks and Scars: A Case Series on Firecracker Ocular Injuries during Diwali
Abstract
Abstract Introduction: Diwali, a widely celebrated festival across India, is traditionally associated with the extensive use of fireworks. While fireworks add to the festive atmosphere, they pose significant safety risks, particularly to the eyes. Firework-induced ocular injuries range from minor burns to severe trauma, often resulting in lasting visual impairment. This case series examines the range of ocular injuries observed during Diwali, their clinical outcomes, and highlights preventive measures to address this ongoing public health concern. Case Presentation: This retrospective case series includes patients who presented with firework-related ocular injuries at a tertiary eye care center during November 2024, within a week of the Diwali festival. Comprehensive patient histories were documented, followed by detailed ocular examinations. Data collected included injury mechanisms, clinical findings, and treatments administered. The age of the patients ranged from 7 to 35 years, with a predominance of closed globe injuries (5 out of 6 cases), while 1 case was involved in an open globe injury. Injuries were categorized using the Birmingham Eye Trauma Terminology (BETT) into open globe and closed globe injuries and classified according to the Ocular Trauma Scoring System (OTSS). Surgical intervention was required in 2 cases (33%), primarily involving more severe injuries such as conjunctival-scleral tears and traumatic cataracts. Conclusion: Firework-related ocular injuries…
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Evidence Hub reads this as a case series, done in people. Its evidence level is 5 of 5 (Very low · case / narrative / animal / in vitro / in silico). Case reports, narrative reviews, and animal, cell or computer-model studies give the weakest evidence for human health.
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