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    Area of Science:

    • Ophthalmology
    • Trauma Surgery
    • Public Health

    Background:

    • Consumer fireworks are a significant cause of eye injuries.
    • There has been a documented increase in fireworks-related eye injuries in Germany over the past nine years.
    • Minors and bystanders are disproportionately affected.

    Purpose of the Study:

    • To outline a structured diagnostic and therapeutic approach for fireworks-induced eye injuries.
    • To discuss medical and surgical management strategies.
    • To highlight the long-term consequences and rehabilitation needs.

    Main Methods:

    • Review of diagnostic challenges in fireworks eye injuries.
    • Discussion of treatment protocols for various injury types (open globe, burns, blunt trauma).
    • Consideration of early and late management, including stem cell replacement and rehabilitation.

    Main Results:

    • Fireworks cause complex injuries involving thermal, chemical, and mechanical impacts affecting all eye structures.
    • Open globe injuries and intraocular foreign bodies require immediate surgery.
    • Blunt trauma can lead to cataracts, luxations, and retinal damage.

    Conclusions:

    • Fireworks-induced eye injuries present unique diagnostic and therapeutic challenges.
    • Timely and appropriate medical and surgical interventions are essential.
    • Despite advances, functional and cosmetic outcomes can be compromised, necessitating early consideration of social security and rehabilitation.