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October 17, 2012

Exposure to Fireworks and Eye Injuries—Reply

Author Affiliations

Letters Section Editor: Jody W. Zylke, MD, Senior Editor.

Author Affiliations: Center for Injury Biomechanics, Virginia Tech–Wake Forest University, Blacksburg, Virginia (vda@vt.edu).

JAMA. 2012;308(15):1523-1524. doi:10.1001/jama.2012.11907

In Reply: We agree with Drs Rao and Dlouhy that fireworks do cause many serious eye injuries, especially among youth. Based on their comments, there appears to be a misunderstanding of what was done in our study. Previous research has shown that projectiles can cause serious eye injuries due to considerable deformation, penetration, or perforation of the eye.13 Our experiments were designed to evaluate overpressure (ie, pressure wave) from a firework explosion as a potential eye injury mechanism.

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