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PHOTO ESSAY
Year : 2022  |  Volume : 2  |  Issue : 1  |  Page : 294-295

Celebrations with party poppers turning into ocular nightmares: Case series


Department of Ophthalmology, SV Aravind Eye Hospital, Tirupati, Andhra Pradesh, India

Date of Submission25-Jan-2021
Date of Acceptance30-Jun-2021
Date of Web Publication07-Jan-2022

Correspondence Address:
Dr. Sathya T Ravilla
Department of Pediatric Ophthalmology, SV Aravind Eye Hospital, Alipiri to Zoo Park Road, Tirupati - 517 505, Andhra Pradesh
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijo.IJO_202_21

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  Abstract 


Keywords: Confetti, ocular trauma, party popper


How to cite this article:
Ravilla ST, Vardhan S A. Celebrations with party poppers turning into ocular nightmares: Case series. Indian J Ophthalmol Case Rep 2022;2:294-5

How to cite this URL:
Ravilla ST, Vardhan S A. Celebrations with party poppers turning into ocular nightmares: Case series. Indian J Ophthalmol Case Rep [serial online] 2022 [cited 2022 Jan 23];2:294-5. Available from: https://www.ijoreports.in/text.asp?2022/2/1/294/334927



The intent of this article is to highlight the hazards of this party toy that is widely available and document the varied severity of ocular trauma that can occur. Social awareness needs to be created on the perils of these party poppers and on proper usage with stress on pointing the device away from any person.

Ocular injuries during celebrations have been reported due to firework,[1],[2] party foam, and artificial snow spray.[3] Party poppers are recently becoming popular and can cause eye injuries, but very little is reported.[4] Here are three case reports to highlight the range of ocular involvement that occurs.

Case 1

An 11-year-old boy presented with 2/60 vision in right eye, blood-stained aqueous, hyphema, vitreous hemorrhage, and raised intraocular pressure (IOP: 44 mmHg) following a blast from a party popper at a birthday party the previous evening. With conservative treatment, he regained 6/6 and normal IOP at 2 months but had early cataract and 360-degree angle recession on last review.

Case 2

A 24-year-old male presented with an epithelial defect in his right eye following the fall of confetti paper from the popper blast. There was no evidence of any foreign body and the epithelial defect resolved in a day.

Case 3

A 24-year-old female suffered irritation following exposure to a confetti blast at her wedding 5 days ago. She had 6/9 in her right eye and a metallic foreign body was seen in the cornea extending into the anterior chamber as is evident in [Figure 1]. The foreign body was removed surgically.
Figure 1: Foreign body in the eye of patient 3

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  Discussion Top


Party popper cannons [Figure 2] are more popular in India. Twisting the base of the cylindrical cannon blasts out the confetti or streamers with a high velocity. We X-rayed a party popper cannon [Figure 3] and noticed thin radio-opaque flakes throughout and metallic structures at the base, which could be the source of the foreign body.
Figure 2: Party popper cannon

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Figure 3: X-ray of party popper cannon showing thin radio-opaque flakes with more settled inferiorly and metallic pin-like structures at base

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With studies[3],[5] showing that public awareness and legislation reduced the incidence of ocular injuries associated with celebrations, it is important to create social alertness and highlight the hazards of this toy.

Acknowledgements

The authors thank Dr. Vinay Sagar. K, radiologist, for his assistance.

Declaration of patient consent

The authors certify that they have obtained all appropriate patient consent forms. In the form the patient(s) has/have given his/her/their consent for his/her/their images and other clinical information to be reported in the journal. The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.



 
  References Top

1.
Chang IT, Prendes MA, Tarbet KJ, Amadi AJ, Chang S-H, Shaftel SS. Ocular injuries from fireworks: The 11-year experience of a US level I trauma center. Eye (Lond) 2016;30:1324-30.  Back to cited text no. 1
    
2.
Witsaman RJ, Comstock RD, Smith GA. Pediatric fireworks-related injuries in the United States: 1990-2003. Pediatrics 2006;118:296-303.  Back to cited text no. 2
    
3.
Abulafia A, Segev F, Platner E, Ben Simon GJ. Party foam-induced eye injuries and the power of media intervention. Cornea 2013;32:826-9.  Back to cited text no. 3
    
4.
Arad T, Voßmerbäumer U, Pfeiffer N, Gericke A. [Eyeball trauma caused by confetti particles]. Ophthalmologe 2018;115:1056-8.  Back to cited text no. 4
    
5.
Wisse RPL, Bijlsma WR, Stilma JS. Ocular firework Trauma: A systematic review on incidence, severity, outcome and prevention. Br J Ophthalmol 2010;94:1586-91.  Back to cited text no. 5
    


    Figures

  [Figure 1], [Figure 2], [Figure 3]



 

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