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Effect of legislation and changing trends of Diwali ocular firecracker injuries in Northern India

OBJECTIVE: The objective of this study is to study the impact of temporary legislation implemented during Diwali on ocular firecracker injuries in Delhi-National Capital Region (NCR) region. MATERIALS AND METHODS: In this retrospective study, records of the patients presenting with ocular firecracke...

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Autores principales: Dhiman, Rebika, Mahalingam, Karthikeyan, Balakrishnan, Neelima, Kumar, Atul, Saxena, Rohit, Sihota, Ramanjit
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8979403/
https://www.ncbi.nlm.nih.gov/pubmed/35388254
http://dx.doi.org/10.4103/ojo.ojo_303_21
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author Dhiman, Rebika
Mahalingam, Karthikeyan
Balakrishnan, Neelima
Kumar, Atul
Saxena, Rohit
Sihota, Ramanjit
author_facet Dhiman, Rebika
Mahalingam, Karthikeyan
Balakrishnan, Neelima
Kumar, Atul
Saxena, Rohit
Sihota, Ramanjit
author_sort Dhiman, Rebika
collection PubMed
description OBJECTIVE: The objective of this study is to study the impact of temporary legislation implemented during Diwali on ocular firecracker injuries in Delhi-National Capital Region (NCR) region. MATERIALS AND METHODS: In this retrospective study, records of the patients presenting with ocular firecracker injury during 10 days of Diwali (prediwali, Diwali and 8 days postdiwali) from 2014 to 2019 were retreived from the medical record section. Clinico-demographic profile, relevant history pertaining to the use of firecracker, and details of eye examination, namely presenting visual acuity (VA), laterality and classification of injury based on Birmingham Eye Trauma Terminology System were noted. RESULTS: Six hundred and sixty-seven eyes of 646 patients were recruited. The median age of patients was 14 years (R = 3–65 years) and male: Female ratio was 4.9:1. Majority of patients (57.7%; n = 373) were from outside Delhi. Most of them were open globe injuries (66.8%). In 55.4% (n = 356) eyes, presenting VA was perception of light to finger counting close to face and 28% (n = 180) eyes could not perceive any light. A significant reduction was noted in the number of ocular firecrcaker injuries after regulation (preregulation [2014–2016] n = 456; postregulation [2017–2019] n = 211; [P = 0.01, t-test]). During preregulation period, presenting VA was worse than 1/60 in significantly higher number of eyes (85.5%; n = 376) than post regulation (78.8%, n = 160) (P = 0.03, Chi-square test). CONCLUSION: Although temporary legislation seems to be effective in reducing ocular firecracker injuries (52.7% reduction) in NCR, uniform implementation of stricter laws nationwide is essential to further minimize the problem.
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spelling pubmed-89794032022-04-05 Effect of legislation and changing trends of Diwali ocular firecracker injuries in Northern India Dhiman, Rebika Mahalingam, Karthikeyan Balakrishnan, Neelima Kumar, Atul Saxena, Rohit Sihota, Ramanjit Oman J Ophthalmol Original Article OBJECTIVE: The objective of this study is to study the impact of temporary legislation implemented during Diwali on ocular firecracker injuries in Delhi-National Capital Region (NCR) region. MATERIALS AND METHODS: In this retrospective study, records of the patients presenting with ocular firecracker injury during 10 days of Diwali (prediwali, Diwali and 8 days postdiwali) from 2014 to 2019 were retreived from the medical record section. Clinico-demographic profile, relevant history pertaining to the use of firecracker, and details of eye examination, namely presenting visual acuity (VA), laterality and classification of injury based on Birmingham Eye Trauma Terminology System were noted. RESULTS: Six hundred and sixty-seven eyes of 646 patients were recruited. The median age of patients was 14 years (R = 3–65 years) and male: Female ratio was 4.9:1. Majority of patients (57.7%; n = 373) were from outside Delhi. Most of them were open globe injuries (66.8%). In 55.4% (n = 356) eyes, presenting VA was perception of light to finger counting close to face and 28% (n = 180) eyes could not perceive any light. A significant reduction was noted in the number of ocular firecrcaker injuries after regulation (preregulation [2014–2016] n = 456; postregulation [2017–2019] n = 211; [P = 0.01, t-test]). During preregulation period, presenting VA was worse than 1/60 in significantly higher number of eyes (85.5%; n = 376) than post regulation (78.8%, n = 160) (P = 0.03, Chi-square test). CONCLUSION: Although temporary legislation seems to be effective in reducing ocular firecracker injuries (52.7% reduction) in NCR, uniform implementation of stricter laws nationwide is essential to further minimize the problem. Wolters Kluwer - Medknow 2022-03-02 /pmc/articles/PMC8979403/ /pubmed/35388254 http://dx.doi.org/10.4103/ojo.ojo_303_21 Text en Copyright: © 2022 Oman Ophthalmic Society https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Original Article
Dhiman, Rebika
Mahalingam, Karthikeyan
Balakrishnan, Neelima
Kumar, Atul
Saxena, Rohit
Sihota, Ramanjit
Effect of legislation and changing trends of Diwali ocular firecracker injuries in Northern India
title Effect of legislation and changing trends of Diwali ocular firecracker injuries in Northern India
title_full Effect of legislation and changing trends of Diwali ocular firecracker injuries in Northern India
title_fullStr Effect of legislation and changing trends of Diwali ocular firecracker injuries in Northern India
title_full_unstemmed Effect of legislation and changing trends of Diwali ocular firecracker injuries in Northern India
title_short Effect of legislation and changing trends of Diwali ocular firecracker injuries in Northern India
title_sort effect of legislation and changing trends of diwali ocular firecracker injuries in northern india
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8979403/
https://www.ncbi.nlm.nih.gov/pubmed/35388254
http://dx.doi.org/10.4103/ojo.ojo_303_21
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