Evidence map›Paper›PMID 39627464›Full record

ArticleGraefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie2025

Significant increase of firework induced eye injuries in Germany and The Netherlands- are we doing enough to protect minors and bystanders?

Ameli Gabel-Pfisterer, Stefan Johann Lang, Daniel Boehringer, Hansjürgen Agostini, Lotte C de Geus, Jan Tjeerd de Faber, German firework study group

Erratum issuedAbstract readMulticenter Study
In one paragraph

Article in Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie, 2025. 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 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Impact of government pyrotechnics ban on emergency department usage rates around the turn of the years.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025
    Article
  2. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors.

Ameli Gabel-PfistererDepartment of Ophthalmology, Ernst-Von-Bergmann Hospital, Potsdam, Germany. ameli.gabel-pfisterer@klinikumevb.de.ORCID http://orcid.org/0000-0002-4111-1984
Stefan Johann LangDepartment of Ophthalmology, Brandenburg Medical School Theodor Fontane (MHB), University Hospital Brandenburg, Brandenburg/ Havel, Germany.
Daniel BoehringerDepartment of Ophthalmology, Medical Center, Faculty of Medicine, University of Freiburg, Freiburg im Breisgau, Germany.
Hansjürgen AgostiniDepartment of Ophthalmology, Medical Center, Faculty of Medicine, University of Freiburg, Freiburg im Breisgau, Germany.
Lotte C de GeusRotterdam Eye Hospital, Rotterdam, The Netherlands.
Jan Tjeerd de FaberRotterdam Eye Hospital, Rotterdam, The Netherlands.
German firework study group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAfter 2 years of pandemic sales ban, on New Year`s Eve 2022/23 consumer firework articles were officially available again in Germany and the Netherlands.

methodsIn the Netherlands we prospectively and anonymously collected data on patients treated for firework induced eye injuries from 2009 on, in Germany since 2016.

resultsAround New Year ́s Eve 2022/23 the number of patients with firework inflicted eye injuries increased in the Netherlands to 133 and in Germany to 838. In both countries the participation of eye departments was 90%. The incidence of firework induced eye injuries in the Netherlands was 0,8 /100 000 in 2022/23, in Germany 1,0 /100 000 in 2022/23. Comparing age groups of minors with firework induced eye injuries, in the Netherlands, total numbers of children below 12 years was lower than total numbers of adolescents between 12 and 17 years. Yet, in Germany from 2016 on every year, total number of children below 12 years were higher than total number of adolescents. The number of patients who reported on being injured as bystander was between 34% in 2020/21 and 53% in both countries.

conclusionsWhile the incidence of firework induced eye injuries in the Netherlands was reduced due to awareness campaigns and regulatory work, the incidence was increasing on the first New Year`s Eve after the pandemic regulations of consumer fireworks in Germany. Especially young children below 12 years need more protection in Germany. In both countries, effective measures of protection need to be implemented for protection of bystanders, whose numbers were low during the first pandemic years. KEY MESSAGES: What is known: overrepresentation of affected minors below 18 years and a rate of up to 50% of injured bystanders according to our data collection over 15 years in the Netherlands and 7 years in Germany What is new: In 2022/2023, total numbers of patients with fire work induced eye injuries in the Netherlands and Germany increased significantly after 2 years of pandemic regulations with a sales ban of consumer fire work articles In 2022/23, incidence of firework induced eye injuries is 1/100 000 in Germany, 0,8/100 000 in the Netherlands Among affected minors in Germany school children up to 12 years are at higher risk than adolescents.

Indexed as

Blast InjuriesEye BurnsEye InjuriesMinorsAdolescentChildChild, PreschoolFemaleGermanyHumansIncidenceInfantMaleNetherlandsProspective StudiesBystanderConsumer fireworksFirework induced eye injuriesFirework inflicted eye injuriesIncidencePrivate fireworksProtection

Identifiers

PMID39627464
PMCPMC12095323

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Registered trials

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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.