DR. KIRANDEEP KAUR

DR BHARAT GURNANI, Dr. Isha Gupta, Dr.Veena Kannusamy

Abstract

To analyze pediatric ocular firecracker injuries and study the final visual outcome, cost involved, and carbon footprint.

Methods: Retrospective analysis of pediatric firecracker injury patients during Diwali festival week 2019 was done.

Results: 74 children with mean age of 9.72 years were analyzed. M:F ratio was 3.35:1. 63 had contusion injury, 6 foreign bodies, 2 corneal lacerations and 2 penetrating injuries. Posterior segment was normal in 66, Comotio retina in 4, Berlin edema in 1, Macular hole in 1 and Vitreous hemorrhage in 2. Mean BCVA from baseline to final visit improved from 0.68 to 0.18. 9 required surgical management. Final BCVA in OGI versus close globe injury was 0.24 and 0.12 respectively. The average cost of medical treatment was 314 rupees. Mean visits to hospitals were 2.54.

Conclusion: Ocular firecracker injuries can have devastating sequelae. Proper handling of firecracker, protective eyewear and timely management in case of an accident can help salvage vision.