scholarly journals Eye trauma in children and adolescents: Perspectives from a developing country and validation of the ocular trauma score

2015 ◽  
Vol 61 (4) ◽  
pp. 238-243 ◽  
Author(s):  
Martina M. Oiticica-Barbosa ◽  
Niro Kasahara
Keyword(s):  
Children And Adolescents ◽  
Developing Country ◽  
Ocular Trauma ◽  
Ocular Trauma Score ◽  
Eye Trauma ◽  
Trauma Score

scholarly journals A Comparison of Ocular Trauma Scores in a Pediatric Population

2018 ◽  
Author(s):  
AbdelHalim A Awidi ◽  
Courtney Kraus
Keyword(s):  
Prediction Models ◽  
Ocular Trauma ◽  
Pediatric Trauma ◽  
Case Group ◽  
Ocular Trauma Score ◽  
Eye Trauma ◽  
Retrospective Clinical Study ◽  
Trauma Score ◽  
Trauma Scores ◽  
Pediatric Ocular Trauma

Abstract Background: Pediatric ocular trauma represents a major concern for ophthalmologists. Delays in presentation, incomplete exams, inaccurate visual acuity (VA) results, and amblyopia can limit accurately predicting final visual outcomes in pediatric eye trauma. We performed a retrospective clinical study to describe the demographics and causes of eye trauma. We also compared 2 ocular trauma scoring systems, one specifically designed for pediatric trauma, to classify injuries and determine which better predicted VA outcomes. Methods: A retrospective chart review of 3 years of pediatric globe trauma was performed. Analysis was focused on mechanisms of injury and VA outcomes. Complex factors that may worsen outcomes were recorded. Ocular Trauma Score (OTS) and Pediatric Ocular Trauma Score (POTS) were used to assign Groups 1-5 to each case. Group 1 was poorest prognosis, Group 5 best. Association between Group and final VA was examined. Accuracy of the two systems was compared. Results: 23 children met eligibility criteria (13 male). Initial VA averaged 20/200 (range NLP – 20/20). Final VA was 20/150 (range NLP - 20/20). Objects of injury were sharp metallic household objects (7), miscellaneous (4), toys (3), BB pellets (2), stick/wood (2), pencil/pen (1). OTS was assigned to 16 patients who had initial VA data available. POTS was calculated for all 23 patients, with a supplemental equation standing in for initial VA in 7 patients. The predictive ability for final VA of the POTS appeared stronger than OTS. Conclusions: The chance of vision loss in a child following ocular trauma is high. Unlike in adults, initial VA is not as easily obtained or accurate in this population. Many ocular trauma scores give initial VA greater weight in outcome prediction models, which unfairly penalizes pediatric patients. Using the POTS developed by Acar et al, we were able to validate its grouping system and found improved correlation with VA outcomes compared to OTS.

scholarly journals A comparison of ocular trauma scores in a pediatric population

2019 ◽  
Vol 12 (1) ◽  
Author(s):  
Abdelhalim Awidi ◽  
Courtney L. Kraus
Keyword(s):  
Ocular Trauma ◽  
Pediatric Population ◽  
Pediatric Trauma ◽  
Case Group ◽  
Light Perception ◽  
Ocular Trauma Score ◽  
Eye Trauma ◽  
Retrospective Clinical Study ◽  
Trauma Score ◽  
Pediatric Ocular Trauma

Abstract Objective Pediatric ocular trauma represents a major concern for ophthalmologists. Delays in presentation, incomplete exams, inaccurate visual acuity (VA) results, and amblyopia can limit accurately predicting final visual outcomes in pediatric eye trauma. We performed a retrospective clinical study to describe the demographics and causes of eye trauma. We also compared 2 ocular trauma scoring systems, one specifically designed for pediatric trauma, to classify injuries and determine which better predicted VA outcomes. A retrospective chart review of 3 years of pediatric globe trauma was performed. Analysis was focused on mechanisms of injury and VA outcomes. Complex factors that may worsen outcomes were recorded. Ocular trauma score (OTS) and pediatric ocular trauma score (POTS) were used to assign Groups 1–5 to each case. Group 1 was poorest prognosis, Group 5 best. Association between Group and final VA was examined. Accuracy of the two systems was compared. Results 23 children met eligibility criteria (13 male). Initial VA averaged 20/200 (range no light perception (NLP)—20/20). Final VA was 20/150 (range no light perception (NLP)—20/20). Objects of injury were sharp metallic household objects (7), miscellaneous (4), toys (3), BB pellets (2), stick/wood (2), pencil/pen (1).

scholarly journals A Comparison of Ocular Trauma Scores in a Pediatric Population

2019 ◽  
Author(s):  
Abdelhalim Awidi ◽  
Courtney L Kraus
Keyword(s):  
Ocular Trauma ◽  
Pediatric Population ◽  
Pediatric Trauma ◽  
Case Group ◽  
Eligibility Criteria ◽  
Ocular Trauma Score ◽  
Eye Trauma ◽  
Retrospective Clinical Study ◽  
Trauma Score ◽  
Pediatric Ocular Trauma

Abstract Objective: Pediatric ocular trauma represents a major concern for ophthalmologists. Delays in presentation, incomplete exams, inaccurate visual acuity (VA) results, and amblyopia can limit accurately predicting final visual outcomes in pediatric eye trauma. We performed a retrospective clinical study to describe the demographics and causes of eye trauma. We also compared 2 ocular trauma scoring systems, one specifically designed for pediatric trauma, to classify injuries and determine which better predicted VA outcomes. A retrospective chart review of 3 years of pediatric globe trauma was performed. Analysis was focused on mechanisms of injury and VA outcomes. Complex factors that may worsen outcomes were recorded. Ocular Trauma Score (OTS) and Pediatric Ocular Trauma Score (POTS) were used to assign Groups 1-5 to each case. Group 1 was poorest prognosis, Group 5 best. Association between Group and final VA was examined. Accuracy of the two systems was compared. Results: 23 children met eligibility criteria (13 male). Initial VA averaged 20/200 (range no light perception (NLP) – 20/20). Final VA was 20/150 (range NLP - 20/20). Objects of injury were sharp metallic household objects (7), miscellaneous (4), toys (3), BB pellets (2), stick/wood (2), pencil/pen (1).

scholarly journals A Comparison of Ocular Trauma Scores in a Pediatric Population

2019 ◽  
Author(s):  
Abdelhalim Awidi ◽  
Courtney L Kraus
Keyword(s):  
Ocular Trauma ◽  
Pediatric Population ◽  
Pediatric Trauma ◽  
Case Group ◽  
Eligibility Criteria ◽  
Ocular Trauma Score ◽  
Eye Trauma ◽  
Retrospective Clinical Study ◽  
Trauma Score ◽  
Pediatric Ocular Trauma

Abstract Objective: Pediatric ocular trauma represents a major concern for ophthalmologists. Delays in presentation, incomplete exams, inaccurate visual acuity (VA) results, and amblyopia can limit accurately predicting final visual outcomes in pediatric eye trauma. We performed a retrospective clinical study to describe the demographics and causes of eye trauma. We also compared 2 ocular trauma scoring systems, one specifically designed for pediatric trauma, to classify injuries and determine which better predicted VA outcomes. A retrospective chart review of 3 years of pediatric globe trauma was performed. Analysis was focused on mechanisms of injury and VA outcomes. Complex factors that may worsen outcomes were recorded. Ocular Trauma Score (OTS) and Pediatric Ocular Trauma Score (POTS) were used to assign Groups 1-5 to each case. Group 1 was poorest prognosis, Group 5 best. Association between Group and final VA was examined. Accuracy of the two systems was compared. Results: 23 children met eligibility criteria (13 male). Initial VA averaged 20/200 (range no light perception (NLP) – 20/20). Final VA was 20/150 (range NLP - 20/20). Objects of injury were sharp metallic household objects (7), miscellaneous (4), toys (3), BB pellets (2), stick/wood (2), pencil/pen (1).

scholarly journals A Comparison of Ocular Trauma Scores in a Pediatric Population

2019 ◽  
Author(s):  
Abdelhalim Awidi ◽  
Courtney L Kraus
Keyword(s):  
Ocular Trauma ◽  
Pediatric Population ◽  
Pediatric Trauma ◽  
Case Group ◽  
Eligibility Criteria ◽  
Ocular Trauma Score ◽  
Eye Trauma ◽  
Retrospective Clinical Study ◽  
Trauma Score ◽  
Pediatric Ocular Trauma

Abstract Objective: Pediatric ocular trauma represents a major concern for ophthalmologists. Delays in presentation, incomplete exams, inaccurate visual acuity (VA) results, and amblyopia can limit accurately predicting final visual outcomes in pediatric eye trauma. We performed a retrospective clinical study to describe the demographics and causes of eye trauma. We also compared 2 ocular trauma scoring systems, one specifically designed for pediatric trauma, to classify injuries and determine which better predicted VA outcomes. A retrospective chart review of 3 years of pediatric globe trauma was performed. Analysis was focused on mechanisms of injury and VA outcomes. Complex factors that may worsen outcomes were recorded. Ocular Trauma Score (OTS) and Pediatric Ocular Trauma Score (POTS) were used to assign Groups 1-5 to each case. Group 1 was poorest prognosis, Group 5 best. Association between Group and final VA was examined. Accuracy of the two systems was compared. Results: 23 children met eligibility criteria (13 male). Initial VA averaged 20/200 (range no light perception (NLP) – 20/20). Final VA was 20/150 (range NLP - 20/20). Objects of injury were sharp metallic household objects (7), miscellaneous (4), toys (3), BB pellets (2), stick/wood (2), pencil/pen (1).

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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