Clinical Science

Validation of the Ocular Trauma Score for Intraocular Foreign Bodies in Deadly Weapon-Related Open-Globe Injuries

Melih H. Unal, MD; Ali Aydin, MD; Murat Sonmez, MD; Ali Ayata, MD; Dilaver Ersanli, MD

  • Ophthalmic Surgery, Lasers and Imaging
  • March/April 2008 - Volume 39 · Issue 2: 121-124
  • DOI: 10.3928/15428877-20080301-15
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Abstract

Background and Objective:

To evaluate the prognostic value of the Ocular Trauma Score (OTS) in cases of deadly weapon-related open-globe injuries with intraocular foreign bodies.

Patients and Methods:

A retrospective, interventional case series included 20 eyes of 20 patients who had deadly weapon-related open-globe injuries with intraocular foreign bodies. The OTS was calculated for each patient by adding the determined numbers of OTS variables at presentation (initial visual acuity, rupture, endophthalmitis, perforating injury, retinal detachment, and afferent pupillary defect). Patients were categorized based on their score (category 1 through 5). Final visual acuities in the OTS categories were calculated and compared to those in OTS study group.

Results:

No statistically significant difference was found between the categorical distributions of the study patients and those in the OTS study group. No patient in the study was in category 5.

Conclusion:

The OTS, which was designed to predict visual outcomes of general ocular trauma, may also provide reliable information about the prognosis of deadly weapon-related open-globe injuries with intraocular foreign bodies.

AUTHORS

From the Department of Ophthalmology (MHU, A. Aydin, A. Ayata, DE), Haydarpasa Training Hospital, Gulhane Military Medical Academy, Istanbul, Turkey; and the Department of Ophthalmology (MS), Eskisehir Military Hospital, Eskisehir, Turkey.

Address correspondence to Melih H. Unal, MD, GATA Haydarpasa Egitim Hastanesi, Goz Hast. Klinigi, Tibbiye Cad. Kadikoy, Istanbul, Turkey.

doi: 10.3928/15428877-20080301-15

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