Evidence map›Paper›PMID 34453604›Full record

ArticleGraefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie2022

Eye injuries from fireworks used during celebrations and associated vision loss: the international globe and adnexal trauma epidemiology study (IGATES).

Annette K Hoskin, Rebecca Low, Jan Tjeerd de Faber, Chitaranjan Mishra, Pradeep Susvar, Eli Pradhan, Andres Rousselot, Fasika A Woreta, Lisa Keay, Stephanie L Watson and 2 more

Erratum issuedAbstract read
PubMed Publisher
In one paragraph

Article in Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
1.9field-weighted citation impact, top 15% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 14 citations in OpenAlex.

  1. Pooled it
  2. Bilateral photic retinopathy following firework exposure.American journal of ophthalmology case reports · 2026
    Article
  3. Article
  4. Observational
  5. Significant increase of firework induced eye injuries in Germany and The Netherlands- are we doing enough to protect minors and bystanders?Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2025
    Article
  6. Article
  7. Firework-related ocular trauma in Pernambuco, Brazil.Arquivos brasileiros de oftalmologia · 2023
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors at 10 institutions in 7 countries.

Annette K HoskinSave Sight Institute, Discipline of Ophthalmology, Sydney Medical School, The University of Sydney, Sydney, New South Wales, Australia.
Rebecca LowNational Healthcare Group Eye Institute at Tan Tock Seng Hospital, Singapore, 308433, Singapore.
Jan Tjeerd de FaberThe Rotterdam Eye Hospital, Rotterdam, Netherlands.
Chitaranjan MishraAravind Eye Hospital, Madurai, India.
Pradeep SusvarSankara Nethralaya, Chennai, India.
Eli PradhanTilganga Institute of Ophthalmology, Kathmandu, Nepal.
Andres RousselotOphthalmology Department, Universidad del Salvador, Buenos Aires, Argentina.
Fasika A WoretaWilmer Eye Institute, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Lisa KeaySchool of Optometry and Vision Science, UNSW, Sydney, Australia.
Stephanie L WatsonSave Sight Institute, Discipline of Ophthalmology, Sydney Medical School, The University of Sydney, Sydney, New South Wales, Australia.
Rupesh AgrawalNational Healthcare Group Eye Institute at Tan Tock Seng Hospital, Singapore, 308433, Singapore. Rupesh_agrawal@ttsh.com.sg.ORCID http://orcid.org/0000-0002-6662-5850
IGATES Fireworks study group
Tan Tock Seng Hospital · SGUNSW Sydney · AUAravind Eye Hospital · INLions Eye Institute · AUSankara Nethralaya · INThe University of Sydney · AUTilganga Institute of Ophthalmology · NPUniversidad del Salvador · ARJohns Hopkins University · USRotterdam Eye Hospital · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo report on the factors associated with severe vision loss from fireworks-related ocular trauma during celebrations, including festivals.

methodsTertiary eye care hospitals in 5 countries and private ophthalmology practices in the Netherlands. Patients included received treatment for fireworks-related ocular trauma during celebrations. Demographic and clinical data for patients affected were analyzed and associations with severe vision loss reported.

resultsOf 388 patients, 71 (18.3 %) had severe vision loss (worse than 6/60) at 4-week follow-up due to fireworks-related ocular trauma. Mean age overall was 20.6 years (range 2 to 83 years), and there was a male predominance of 4:1. Clinical factors associated with severe vision loss included penetrating injury (OR 4.874 [95% CI 1.298-18.304; p = 0.02]) and lens injury (OR 7.023 [95% CI 2.378-20.736; p = 0.0004]). More patients with closed-globe injuries (CGIs) had improved vision after 4 weeks (OR 3.667, 1.096-12.27) compared to those with open-globe injuries (OGI) (p = 0.035). Eye protection use was reported by 7 patients, and 39.4% patients < 18 years were unsupervised by an adult at the time of injury.

conclusionsSevere vision loss from fireworks-related ocular trauma occurred during celebrations in a variety of countries and was associated with penetrating and/or lens injury and poor presenting vision. New initiatives are needed to prevent severe vision loss associated with these injuries.

Indexed as

Eye InjuriesVision, LowAdolescentAdultAgedAged, 80 and overChildChild, PreschoolHumansIncidenceMaleMiddle AgedRetrospective StudiesVision DisordersYoung AdultFireworksOcular traumaVision loss

Identifiers

PMID34453604
OpenAlexW3195663171

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.