Fireworks are a staple of Fourth of July celebrations in Las Vegas, with both professional shows and personal displays lighting up the sky. However, this festive activity often results in an increase in firework-related injuries, particularly eye injuries, making it a busy time for ophthalmologists and emergency rooms.
Peter DeBry, an ophthalmologist in Henderson, explains that the primary causes of eye injuries from fireworks are impacts and burns. Impacts occur when parts of fireworks hit the eye, often causing blunt trauma and bleeding. Burns may result from hot fragments, although quick reflexes usually protect the eye itself.
One significant risk is from fireworks containing phosphorus, which produces bright colors but can cause severe burns if it comes into contact with skin or eyes. DeBry recounts a case where a patient lost vision after a “roman candle” firework unexpectedly ignited and struck their eye.
In addition to immediate blindness, other potential consequences of firework injuries include the formation of cataracts and the development of glaucoma, which can lead to gradual vision loss.
Ketan Patel, director of emergency medicine at University Medical Center, acknowledges that while there isn’t a massive spike in overall emergency room visits, firework-related injuries are common around this time. He likens fireworks to “missiles” due to their high velocity and potential for injury.
The American Academy of Ophthalmology advises against non-professionals using fireworks, highlighting the dangers of even seemingly benign items like sparklers, which can burn at extremely high temperatures.
Ophthalmologists like Leslie Kanda express concern about the increase in injuries on July Fourth, calling it their “least favorite day of the year.” To prevent injuries, experts recommend leaving fireworks to professionals or, if using them personally, wearing protective eyewear. If an injury occurs, the injured eye should be covered and medical attention sought immediately without attempting self-treatment.