PURPOSE: To assess prognostic value of the ocular trauma score (OTS) in deadly weapon-related open-globe injuries. DESIGN: Retrospective, interventional case series. METHODS: In 82 patients (88 eyes) with deadly weapon-related open-globe injuries, certain numerical values rendered to the OTS variables (visual acuity, rupture, endophthalmitis, perforating injury, retinal detachment, afferent pupillary defect) at presentation were summated and converted into OTS categories. The likelihood of the final visual acuities in the OTS categories were calculated and compared with those in the OTS study. RESULTS: The likelihood of the final visual acuities (no light perception NLP, light perception LP/hand motion HM, 1/200 to 19/200, 20/200 to 20/50, and > or = 20/40) in the OTS categories (1 through 5) in this group were similar to those in the OTS study group except for LP/HM in the category-2 (53% vs 26%, P < .001). No study eye was in the category-5 (the best prognosis). CONCLUSIONS: OTS calculated at initial examination may provide prognostic information in deadly weapon-related open-globe injuries.
PURPOSE: To assess prognostic value of the ocular trauma score (OTS) in deadly weapon-related open-globe injuries. DESIGN: Retrospective, interventional case series. METHODS: In 82 patients (88 eyes) with deadly weapon-related open-globe injuries, certain numerical values rendered to the OTS variables (visual acuity, rupture, endophthalmitis, perforating injury, retinal detachment, afferent pupillary defect) at presentation were summated and converted into OTS categories. The likelihood of the final visual acuities in the OTS categories were calculated and compared with those in the OTS study. RESULTS: The likelihood of the final visual acuities (no light perception NLP, light perception LP/hand motion HM, 1/200 to 19/200, 20/200 to 20/50, and > or = 20/40) in the OTS categories (1 through 5) in this group were similar to those in the OTS study group except for LP/HM in the category-2 (53% vs 26%, P < .001). No study eye was in the category-5 (the best prognosis). CONCLUSIONS: OTS calculated at initial examination may provide prognostic information in deadly weapon-related open-globe injuries.
Authors: Liliana Moreno; Luis F Velasquez; Carlos A Restrepo; Jose D Paulo; Jorge Donado; Marta L Muñoz; John J Aristizabal Journal: Colomb Med (Cali) Date: 2013-12-31