The Dark Side of Light: Clinical Management of Fire Cracker Related Globe Ruptures – Case Series

• Dr. Chhaya Shinde

  Author

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Purpose: To analyse the clinical profile, surgical management, and visual outcomes of globe ruptures caused by 
firecracker-related ocular trauma in a tertiary care setting. 
Methods: This prospective, hospital-based case series included 4 patients under 30 years of age who sustained 
firecracker-related globe injuries requiring surgical intervention. Data on patient demographics, mechanism of 
injury, ocular findings, imaging, surgical procedures, and outcomes were collected using a standardized trauma 
proforma. Injuries were classified according to the Birmingham Eye Trauma Terminology System (BETTS).1 
Results: Of the 4 patients, 3 were male (75%) and one female (25%). 2 sustained injuries while handling 
firecrackers and 2 were bystanders. All patients presented with open-globe injuries. Primary globe repair was 
performed in all cases. Secondary interventions included phacoemulsification with intraocular lens (IOL) 
implantation, pars plana vitrectomy with intraocular foreign body (IOFB) removal. One patient developed post- 
traumatic endophthalmitis. All patients had poor initial visual acuity, 1 patient was lost to follow up, 2 patients 
vision improved to 6/60, 1 patient’s vision improved to 6/12. 
Conclusion: Firecracker-related globe ruptures pose a significant threat to vision, especially in young individuals. 
Despite prompt and skilled surgical intervention, outcomes are often limited by the severity of initial trauma.

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