scholarly journals Comparison of Prognostic Prediction Value by Ocular Trauma Score with Visual Outcome in Ocular Foreign Body Trauma

2021 ◽  
Vol 83 (1) ◽  
Author(s):  
Rizqy Abdullah ◽  
Susy Fatmariyanti ◽  
Hendrian Dwikoloso
Keyword(s):  
Foreign Body ◽  
Ocular Trauma ◽  
Visual Outcome ◽  
Ocular Trauma Score ◽  
Prognostic Prediction ◽  
Trauma Score

scholarly journals Ocular Trauma Score in Siderosis Bulbi With Retained Intraocular Foreign Body

Medicine ◽  
2015 ◽  
Vol 94 (39) ◽  
pp. e1533 ◽  
Author(s):  
Lili Zhu ◽  
Pingyu Shen ◽  
Hong Lu ◽  
Chixin Du ◽  
Jianqin Shen ◽  
...  
Keyword(s):  
Foreign Body ◽  
Ocular Trauma ◽  
Intraocular Foreign Body ◽  
Ocular Trauma Score ◽  
Trauma Score ◽  
Siderosis Bulbi

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 Traumatic open globe injury—epidemiology, risk factors and visual outcome at the University Hospital Aachen

2021 ◽  
Author(s):  
Yassamin Djalali-Talab ◽  
Babac Mazinani ◽  
Yassin Djalali-Talab
Keyword(s):  
Risk Factors ◽  
Ocular Trauma ◽  
Visual Outcome ◽  
University Hospital ◽  
Open Globe Injury ◽  
Ocular Trauma Score ◽  
Open Globe ◽  
Definitive Therapy ◽  
Trauma Score ◽  
The University

Summary Background Ocular trauma is still a major cause leading to enucleation. This study aims to analyze the visual outcome, epidemiology and risk factors of open globe injury (OGI) at the University Hospital Aachen, Germany. Material and methods A retrospective analysis of patient records involving traumatic OGI treated surgically between 2005 and 2015 was conducted. Age, gender, cause of accident, ocular trauma score, best corrected visual acuity (BCVA) at presentation and after treatment as well as location of injury were evaluated. Results Of 2272 eyes with trauma, 102 patients with OGI were identified, of which 65% were male and 35% were female. Women were significantly older than men (p < 0.001). The most common cause of injury was domestic syncopal episodes (47%). Work-related injuries occurred exclusively in men in 8.8%. A total of 16% had no light perception (NLP) at presentation, 69% of which improved post intervention to hand movement or better. Endophthalmitis was observed in 4% of all cases. Enucleation was needed mostly due to rupture. Location of OGI, pseudophakia and initial BCVA are risk factors for poor final BCVA. Patients’ BCVA did not improve further after three surgeries. Conclusion Traumatic OGI still poses a challenge in terms of treatment planning and prognostic outcome. A rise in elderly patients with multimorbidity represents a secondary obstacle to treatment. Patients with initial NLP can be treated with moderate success. Nevertheless, risk factors and ocular trauma score are unable to provide definitive therapy decisions. OGI should be assessed case by case, taking risk factors for OGI into account. Treating physicians should consider the ethical and economic reasons with regard to whether a high number of surgeries with possible comorbidities is justified.

scholarly journals Ocular Trauma Score revisited – Making sense of it all

2019 ◽  
Vol 2 ◽  
pp. 4
Author(s):  
Mehul Shah ◽  
Gangadhara Sundar ◽  
Shreya Shah
Keyword(s):  
Structural Damage ◽  
Treatment Guidelines ◽  
Ocular Trauma ◽  
Pediatric Population ◽  
Visual Outcome ◽  
Ocular Trauma Score ◽  
Making Sense ◽  
Children And Young Adults ◽  
Trauma Score ◽  
Operating Surgeon

Globe injuries, a component of ophthalmic trauma, are a serious and preventable cause of monocular blindness typically affecting children and young adults. Visual outcome is generally unpredictable as it depends not only on anatomical structural damage but also on functional recovery, which is based on individual patient, operating surgeon, and other risk factors. There are no classifications, investigations, or treatment guidelines that are internationally standardized and practiced. As there are numerous controversies and variability of practice standards, we herewith review existing literature related to the relevance and practice of the Ocular Trauma Score to highlight validated and effective predictive models in adult ocular trauma and also in the pediatric population. Its applicability in various situations and proposed guidelines may help clinician to predict visual outcome following mechanical ocular trauma and also help audit outcomes when predicted outcomes are not achieved.

scholarly journals Optimal timing of vitrectomy for severe mechanical ocular trauma: A retrospective observational study

2019 ◽  
Vol 9 (1) ◽  
Author(s):  
Honghua Yu ◽  
Jianhua Li ◽  
Ying Yu ◽  
Guodong Li ◽  
Dongli Li ◽  
...  
Keyword(s):  
Visual Acuity ◽  
Ocular Trauma ◽  
Visual Outcome ◽  
Optimal Timing ◽  
Trauma Patients ◽  
Ocular Trauma Score ◽  
Post Operation ◽  
Group A ◽  
Group B ◽  
Trauma Score

AbstractMechanical ocular trauma could lead to disastrous visual outcomes. There has been a controversy regarding the timing of vitrectomy for such cases. This study aimed to find out the optimal timing of vitrectomy for severe mechanical ocular trauma. Patients with severe mechanical ocular trauma who had undergone vitrectomy were enrolled and followed up for at least 6 months. Clinical data were collected including ocular trauma score (OTS), the timing of vitrectomy upon injury, visual acuity, vitrectomy results, post-operation complications and etc. All cases were classified according to the timing of vitrectomy upon injury into 3 groups: group A 1–7 days, group B 8–14 days, group C more than 14 days. A total of 62 cases were enrolled, including 20 eyes in group A, 25 eyes in group B, and 17 eyes in group C. No significant differences were shown of the gender, age or OTS among the 3 groups. Both functional success rate and visual outcome were optimal in group B, then in group A, and worst in group C. These results suggested that the best timing of vitrectomy for severe mechanical ocular trauma is 8–14 days upon injury; second best is 1–7 days; worst is after 14 days.

scholarly journals Verification of Ocular Trauma Score for Intraocular Foreign Bodies in Lethal-Weapon-Related Ocular Injuries

2020 ◽  
Vol 185 (7-8) ◽  
pp. e1101-e1105
Author(s):  
Soner Guven
Keyword(s):  
Ocular Trauma ◽  
Visual Outcome ◽  
Light Perception ◽  
Predictive Tool ◽  
Ocular Trauma Score ◽  
Visual Prognosis ◽  
Combat Injuries ◽  
Open Globe ◽  
Ocular Injuries ◽  
Trauma Score

Abstract Introduction The ocular trauma score (OTS) is a widely used predictive tool in determining the visual prognosis of ocular injuries. Intraocular-foreign-body (IOFB)-type injuries comprise the leading type of open-globe injuries (OGI) in ocular combat injuries. However, there are scarce reports evaluating the efficacy of OTS in IOFB-type injuries. Only one study is available that explored the validity of OTS in combat-related IOFB injuries with a limited number of eyes. The aim of this study is to confirm the predictive value of OTS in lethal-weapon (LW)-related OGI with IOFB. Material and Methods The charts of 488 patients with IOFB-type-eye injuries between January 1998 and January 2018 were analyzed. Only the LW-related ocular injuries were included. Baseline details (patient demographics, surgeries, OTS categories, and visual acuity [VA]) were recorded. To test the validity of OTS, Fischer exact test was used to compare the likelihood of the final VAs for every OTS subgroups between OTS study group and this study. Results The complete data of 206 eyes of 142 patients including two civilians were analyzed in the study. No subjects had ocular protection at the time of the injury. OTS study and this current study did not show an exact validation in first three OTS categories in various final VA subgroups (no light perception (NLP) subgroup (P: 0.001), light perception/hand movements subgroup (P: 0.033), 20/200 to 20/50 subgroup (P: 0.047) in OTS category 1; NLP subgroup (P: 0.000), 20/200 to 20/50 subgroup (P: 0.036), 20/40 subgroup (P: 0.018) in OTS 2; and 20/200 to 20/50 subgroup (P: 0.01), 20/40 subgroup (P: 0.003) in OTS 3, respectively). The above results indicate that in first three OTS categories, OTS study was not useful in visual prognosis prediction in the mentioned VA subgroups. The results predicted the final VA only in OTS categories 4 and 5 in which all P values were greater than 0.05. Conclusions Visual outcome of this type of ocular injury may be unpredictable due to more frequent discouraging results. OTS failed to predict visual outcome in first three OTS categories in this study. Therefore, OTS appears to be verified only in better (OTS categories 4 and 5) categories.

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