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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.1-3 Our experiments were designed to evaluate overpressure (ie, pressure wave) from a firework explosion as a potential eye injury mechanism.