scholarly journals Prognostic factors for open globe injuries and correlation of Ocular Trauma Score at a tertiary referral eye care centre in Singapore

2013 ◽  
Vol 61 (9) ◽  
pp. 502 ◽  
Author(s):  
Rupesh Agrawal ◽  
HoSue Wei ◽  
Stephen Teoh
2015 ◽  
Vol 2015 ◽  
pp. 1-6 ◽  
Author(s):  
Yu Meng ◽  
Hua Yan

Purpose. To investigate prognostic factors that influence the final visual acuity (VA) and to correlate the ocular trauma score (OTS) with the final VA in open globe injuries.Methods. A retrospective review of 298 patients with open globe injuries admitted to Tianjin Medical University General Hospital was carried out from January 1, 2010, till December 31, 2014. Prognostic factors influencing the final VA in patients with open globe injuries and the correlation between OTS and the final VA were examined.Results. Three hundred and fourteen eyes from 298 patients with open globe injuries were analyzed. Males had a higher rate of open globe injury than females (83.56% versus 16.44%). Mean age was 45.46 ± 17.48 years (5–95 years). In a univariate analysis, prognostic factors influencing the final VA included initial VA, relative afferent papillary defect (RAPD), vitreous hemorrhage, lens injury, endophthalmitis, hyphema, retinal detachment, and the zone of injury. In a multiple logistic regression analysis, initial VA, RAPD, and the zone of injury were considered to be independent risk factors. The OTS correlated with final VA (r=0.988,p=0.000).Conclusion. In our study, the most important prognostic factors influencing the final VA were initial VA, RAPD, and the zone of injury. The OTS was of great importance for patients and ophthalmologists.


2006 ◽  
Vol 141 (4) ◽  
pp. 760-761 ◽  
Author(s):  
Güngör Sobacı ◽  
Tŭgrul Akin ◽  
Üzeyir Erdem ◽  
Yusuf Uysal ◽  
Suat Karagül

2009 ◽  
Vol 66 (4) ◽  
pp. 1030-1032 ◽  
Author(s):  
Yaprak Banu Unver ◽  
Ziya Kapran ◽  
Nur Acar ◽  
Tuğgrul Altan

2008 ◽  
Vol 65 (6) ◽  
pp. 1284-1286 ◽  
Author(s):  
Yusuf Uysal ◽  
Fatih M. Mutlu ◽  
Güngör Sobac

2020 ◽  
Author(s):  
Saurav Man Shrestha ◽  
Casey Leigh Anthony ◽  
Justin A. Grant ◽  
Madhu Thapa ◽  
Jyoti Baba Shrestha ◽  
...  

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.


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