Citation:Irawati Y,Ardiani LS,Gondhowiardjo TD,K A. Hoskin.Predictive value and applicability of ocular trauma scores and pediatric ocular trauma scores in pediatric globe injuries.Int J Ophthalmol 2022;15(8):1352-1356,doi:10.18240/ijo.2022.08.19
Predictive value and applicability of ocular trauma scores and pediatric ocular trauma scores in pediatric globe injuries
Received:January 01, 2021  Revised:January 26, 2022
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DOI:10.18240/ijo.2022.08.19
Key Words:ocular trauma score  pediatric ocular trauma  closed globe injuries  open globe injuries  eye injuries
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Yunia Irawati 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; JEC Eye Hospitals and Clinics, Jalan Cik Ditiro 46, Menteng, Jakarta 10310, Indonesia
Lily Silva Ardiani JEC Eye Hospitals and Clinics, Jalan Cik Ditiro 46, Menteng, Jakarta 10310, Indonesia
Tjahjono Darminto Gondhowiardjo JEC Eye Hospitals and Clinics, Jalan Cik Ditiro 46, Menteng, Jakarta 10310, Indonesia
Annette K. Hoskin Save Sight Institute, The University of Sydney, Sydney, South Block, Sydney Eye Hospital, 8 Macquarie Street, Sydney NSW 2000, Australia; Lions Eye Institute, Department of Ophthalmology, The University of Western Australia, 2 Verdun Street, Nedlands WA 6009, Australia
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Abstract:
      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 logMAR. 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 surgery (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.

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