Predictive value and applicability of ocular trauma scores and pediatric ocular trauma scores in pediatric globe injuries  

作　　者：Yunia Irawati Lily Silva Ardiani Tjahjono Darminto Gondhowiardjo Annette K.Hoskin 

机构地区：[1]Division of Plastic and Reconstructive Surgery,Department of Ophthalmology,Faculty of Medicine,University of Indonesia,dr.Cipto Mangunkusumo Hospital,Jalan Kimia No.8,Jakarta 10430,Indonesia [2]JEC Eye Hospitals and Clinics,Jalan Cik Ditiro 46,Menteng,Jakarta 10310,Indonesia [3]Save Sight Institute,The University of Sydney,Sydney,South Block,Sydney Eye Hospital,8 Macquarie Street,Sydney NSW 2000,Australia [4]Lions Eye Institute,Department of Ophthalmology,The University of Western Australia,2 Verdun Street,Nedlands WA 6009,Australia

出　　处：《International Journal of Ophthalmology(English edition)》2022年第8期1352-1356,共5页国际眼科杂志（英文版）

摘　　要：AIM: To evaluate the predictive value and applicability of Ocular Trauma Score(OTS) and Pediatric Ocular Trauma Score(POTS) for closed and open globe injuries in the pediatric group.METHODS: A retrospective study of closed and open globe injuries in children age of 0-18-year-old between 2012-2019 was conducted.Medical records were collected,and injuries were classified using Birmingham Eye Trauma Terminology System(BETTS).The predictive value and applicability of both OTS and POTS to final visual acuity(VA) were analyzed.RESULTS: Of 84 patients,59(70.2%) presented with closed globe injuries(CGI) and 25(29.8%) with open globe injuries(OGI).The mean of initial VA was 0.832±0.904 log MAR.OTS and POTS was calculated.Initial VA(P<0.001) and traumatic cataract(P<0.001) were significantly associated with visual outcome,followed by organic/unclean wound (P=0.001),delay of surger y(P=0.001),iris prolapse(P=0.003),and globe rupture(P=0.008).A strong correlation between OTS and POTS and final VA(r=-0.798,P<0.001;r=-0.612,P<0.001) was found.OTS was more applicable in all age group of pediatric and in contrast to POTS,it was designed for 0-15 years old.POTS requires eleven parameters and OTS six parameters.Even though initial VA was not available,we could still calculate into POTS equation.CONCLUSION: OTS and POTS are highly predictive prognostic tools for final VA in CGI and OGI's in children.

关 键 词：ocular trauma score pediatric ocular trauma closed globe injuries open globe injuries eye injuries 

分 类 号：R779.1[医药卫生—眼科]