Ocular Trauma Score as a predictor of final visual outcomes in traumatic cataract cases in pediatric patients

2012 ◽  
Vol 38 (6) ◽  
pp. 959-965 ◽  
Author(s):  
Mehul A. Shah ◽  
Shreya M. Shah ◽  
Adway Applewar ◽  
Chintan Patel ◽  
Krunal Patel
Keyword(s):  
Pediatric Patients ◽  
Ocular Trauma ◽  
Traumatic Cataract ◽  
Ocular Trauma Score ◽  
Visual Outcomes ◽  
Trauma Score

scholarly journals Ocular trauma from land mines among soldiers treated at a University Hospital in Medellín, Colombia

2013 ◽  
pp. 218-223 ◽  
Author(s):  
Liliana Moreno ◽  
Luis Fernando Velasquez ◽  
Carlos Alberto Restrepo ◽  
Jose David Paulo ◽  
Jorge Hernando Donado ◽  
...  
Keyword(s):  
Ocular Trauma ◽  
Visual Outcome ◽  
University Hospital ◽  
Military Population ◽  
Ocular Trauma Score ◽  
Visual Outcomes ◽  
Land Mine ◽  
Combat Injuries ◽  
Eyes Open ◽  
Trauma Score

Introduction: Currently ocular combat injuries are complex and associated with poor visual outcomes. Our objective is to characterize the military population that suffer land mine combat ocular trauma in Colombia and indentify the type of wound, treatment and visual outcomes. Methods: Retrospectively review of medical history of soldiers evaluated in Pablo Tobon Uribe Hospital, whom had land mine trauma during January of 2004 and December 2012. Results: 635 soldiers had land mine trauma, 153 of them had ocular trauma (226 eyes). Open ocular trauma was observed in 29.6%. The Ocular Trauma Score was calculated in 183 eyes, the initial visual acuity was not possible to be reported in the rest of them; the 45% of the eyes were classified in category 3. Three patients had no light perception in both eyes. 97.3% of the eyes received medical treatment and 49.1% had surgery also. Primary evisceration was made in 5.8% and enucleation in 1.8%. Intraocular foreign body was observed by ultrasonography in 11.1% and in 5.8% by orbital tomography. Eleven patients were legally blind at discharge. Conclusions: The ocular trauma related to a landmine is highly destructive at an ocular level. The treatments associated with better visual outcomes are primary closure of globe and systemic antibiotics; although the characteristics of the wound itself are the main prognostic factor. The Ocular trauma score is a useful tool for determining visual outcome in combat ocular trauma.

Ocular Trauma Score: A Useful Predictor of Visual Outcome at Six Weeks in Patients with Traumatic Cataract

Ophthalmology ◽  
2012 ◽  
Vol 119 (7) ◽  
pp. 1336-1341 ◽  
Author(s):  
Mehul A. Shah ◽  
Shreya M. Shah ◽  
Adway Applewar ◽  
Chintan Patel ◽  
Shashank Shah ◽  
...  
Keyword(s):  
Ocular Trauma ◽  
Visual Outcome ◽  
Traumatic Cataract ◽  
Ocular Trauma Score ◽  
Trauma Score

scholarly journals Factors Affecting Final Functional Outcomes in Open-Globe Injuries and Use of Ocular Trauma Score in Nepalese population

2020 ◽  
Author(s):  
Saurav Man Shrestha ◽  
Casey Leigh Anthony ◽  
Justin A. Grant ◽  
Madhu Thapa ◽  
Jyoti Baba Shrestha ◽  
...  
Keyword(s):  
Visual Acuity ◽  
Ocular Trauma ◽  
Final Visual Acuity ◽  
Delayed Presentation ◽  
Ocular Trauma Score ◽  
Visual Outcomes ◽  
Open Globe ◽  
The Mean ◽  
Trauma Score ◽  
Open Globe Injuries

Abstract Background: Open globe injury (OGI) is one of the most devastating form of ocular trauma. The aim of the study is to identify the epidemiology and predict visual outcomes in traumatic open globe injuries using ocular trauma score (OTS) and correlate with final visual acuity (VA) at 3 months. Methods: Patients older than 5 years, presenting to B.P. Koirala Lions Centre for Ophthalmic Studies (BPKLCOS) from March 2016- March 2017 with OGI that met inclusion criteria were evaluated. Patient profile, nature and cause of injury, and time to presentation were recorded. Patients were managed accordingly and followed up to 3 months. An OTS score for each patient was calculated and raw scores were categorized accordingly. The VA after 3 months were compared to the predicted OTS values. Results: Seventy-three eyes of 72 patients were examined. 76% were male, and the mean age was 26.17 years (median, 23.5 years). The mean time from injury to presentation was <6 hours (30 patients, 41%). Thirty-seven eyes (51%) had zone I trauma, followed by twenty eyes (27%) with zone II, and sixteen eyes (22%) with zone III trauma. Sixty-five patients (90%) were managed surgically, and fifty (68%) received intravitreal antibiotics with steroid. When compared, the projected VA as per OTS were able to predict actual final visual outcomes in 60% of the eyes with OGI of various zones (p<0.05). Conclusion: OTS can be an accurate predictive tool for final visual acuity even with a short follow up period of 3 months; with poor presenting visual acuity, delayed presentation, posterior zones of injury, need for intravitreal injections, endophthalmitis, and globe rupture associated with poorer prognosis.

Two kinds of ocular trauma score for paediatric traumatic cataract in penetrating eye injuries

Injury ◽  
2015 ◽  
Vol 46 (9) ◽  
pp. 1828-1833 ◽  
Author(s):  
Lili Zhu ◽  
Zhencheng Wu ◽  
Feng Dong ◽  
Jia Feng ◽  
Dinghua Lou ◽  
...  
Keyword(s):  
Ocular Trauma ◽  
Traumatic Cataract ◽  
Eye Injuries ◽  
Ocular Trauma Score ◽  
Trauma Score

scholarly journals Pediatric Traumatic Retinal Detachment: Clinical Features, Prognostic Factors, and Surgical Outcomes

2018 ◽  
Vol 2018 ◽  
pp. 1-5 ◽  
Author(s):  
Dilek Yaşa ◽  
Zeynep Gizem Erdem ◽  
Ufuk Ürdem ◽  
Gökhan Demir ◽  
Ali Demircan ◽  
...  
Keyword(s):  
Visual Acuity ◽  
Prognostic Factors ◽  
Retinal Detachment ◽  
Surgical Outcomes ◽  
Ocular Trauma ◽  
Ocular Trauma Score ◽  
Visual Outcomes ◽  
The Mean ◽  
Trauma Score

Purpose. We report the clinical characteristics, prognostic factors, and surgical outcomes for 23-gauge pars plana vitrectomy (23-G PPV) in pediatric cases of traumatic retinal detachment (RD). Methods. Medical records of pediatric patients who underwent 23-G PPV to treat traumatic retinal detachment were retrospectively reviewed. These patients underwent a follow-up examination at least 1 year following surgery. Associations between various preoperative factors and anatomical and visual outcomes were analyzed. An Ocular Trauma Score (OTS) and a Pediatric Ocular Trauma Score (POTS) were calculated for each patient. Raw scores were converted to their corresponding OTS and POTS categories. Final visual acuities by categories were compared with those in the OTS and POTS studies. Results. The mean age of the patients was 9 ± 4 years, and the male-to-female ratio was 4.7 : 1. The mean follow-up time was 23 ± 14 months. Anatomical success was achieved in 72% of the eyes, and functional success (>5/200) was achieved in 37% of the eyes. Functional success was less common among patients with visual acuities less than hand motion, macula-off retinal detachment, proliferative vitreoretinopathy at presentation, and recurrent retinal detachment during follow-up. When we compared the categorical distribution of final visual acuities in all categories, our results were significantly different than those suggested by OTS and POTS. Conclusions. Visual outcomes are poorer compared to anatomical outcomes. OTS and POTS do not provide reliable prognostic information if the patient has RD. Presenting visual acuity, the presence of macula-off RD, and PVR are all important predictors of final visual acuity.

scholarly journals Factors affecting final functional outcomes in open‐globe injuries and use of ocular trauma score as a predictive tool in Nepalese population

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Saurav M. Shrestha ◽  
Casey L. Anthony ◽  
Grant A. Justin ◽  
Madhu Thapa ◽  
Jyoti B. Shrestha ◽  
...  
Keyword(s):  
Visual Acuity ◽  
Ocular Trauma ◽  
Final Visual Acuity ◽  
Predictive Tool ◽  
Ocular Trauma Score ◽  
Visual Outcomes ◽  
Open Globe ◽  
The Mean ◽  
Trauma Score ◽  
Open Globe Injuries

Abstract Background Open globe injury (OGI) is one of the most devastating form of ocular trauma. The aim of the study is to identify the epidemiology and predict visual outcomes in traumatic open globe injuries using ocular trauma score (OTS) and correlate with final visual acuity (VA) at 3 months. Methods Patients older than 5 years, presenting to B.P. Koirala Lions Centre for Ophthalmic Studies (BPKLCOS) from March 2016- March 2017 with OGI that met inclusion criteria were evaluated. Patient profile, nature and cause of injury, and time to presentation were recorded. Patients were managed accordingly and followed up to 3 months. An OTS score for each patient was calculated and raw scores were categorized accordingly. The VA after 3 months were compared to the predicted OTS values. Results Seventy-three eyes of 72 patients were examined. 76 % were male, and the mean age was 26.17 years (median, 23.5 years). The mean time from injury to presentation was < 6 hours (30 patients, 41 %). Thirty-seven eyes (51 %) had zone I trauma, followed by twenty eyes (27 %) with zone II, and sixteen eyes (22 %) with zone III trauma. Sixty-five patients (90 %) were managed surgically, and fifty (68 %) received intravitreal antibiotics with steroid. When compared, the projected VA as per OTS were able to predict actual final visual outcomes in 60 % of the eyes with OGI of various zones. Conclusions OTS can be an accurate predictive tool for final visual acuity even with a short follow up period of 3 months; with poor presenting visual acuity, delayed presentation, posterior zones of injury, need for intravitreal injections, endophthalmitis, and globe rupture associated with poorer prognosis.

Value of ocular trauma score in predicting the incidence of secondary glaucoma after closed globe injury

2021 ◽  
pp. 112067212110556
Author(s):  
Xu Hou ◽  
Xinxing Guo ◽  
Zhili Cui ◽  
Yusheng Wang ◽  
Jian Zhou ◽  
...  
Keyword(s):  
Clinical Characteristics ◽  
Surgical Intervention ◽  
Ocular Trauma ◽  
Glaucoma Surgery ◽  
Secondary Glaucoma ◽  
Initial Visit ◽  
Ocular Trauma Score ◽  
The Difference ◽  
Incident Rate ◽  
Trauma Score

Aim To analyze the visual acuity (VA) and the incidence of secondary glaucoma among patients with closed globe injury (CGI). To determine the correlations between the ocular trauma score (OTS) with surgery rate, and evaluate the applicability of OTS in secondary glaucoma prediction and treatment. Methods We conducted a retrospective review of 265 patients (265 eyes) with CGI admitted to Xijing Hospital between January 2014 and December 2016. The clinical characteristics; VA, IOP, injury zone, surgery, and IOP-lowering medications were collected at the initial visit and at six months. The patients with secondary glaucoma were scored and assessed by the OTS system. The correlation of the anti-glaucoma surgery with the OTS was evaluated. The difference in the number of IOP-lowering medications between the initial visit and six months was analyzed. Results The average age of the patients was 33.5 ± 20.7 years with 80.8% being males. The final VA outcome improved in its totality after treatment. 35 patients developed glaucoma, with an incident rate of 13.2% over six months. All glaucoma patients had an injury in zone I and II, and 12 of them had an injury in zone III. The severity of the OTS category showed a strong correlation with the anti-glaucoma surgery rate. After the surgical intervention, the number of IOP-lowering medications in OTS category 2, 3, and 4 significantly reduced. Conclusions The OTS has predictive value in the incidence of secondary glaucoma after CGI. A patient with a low score is more likely to develop secondary glaucoma and might require surgical intervention.

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