A new ocular trauma score in pediatric penetrating eye injuries

Abstract

Purpose To assess the prognostic value of a new ocular trauma score (OTS) in pediatric penetrating injuries. Methods Children r15 years of age that presented to the emergency room with penetrating eye injuries between April 2007 and August 2008 were evaluated prospectively. All patients were reviewed on the basis of age, gender, time of injury and how it happened, time of admission, time of surgery, type of penetrating injury, initial and final visual acuity (VA), and concomitant eye pathology. Injuries were classified based on a new OTS, and we assessed the relationship with final VA and the new OTS.

Traumatic Eye Injuries From Collapsible Wire Laundry Hampers

“…1,2 In all patients, there is a risk for vision loss from anatomic changes such as corneal scarring, cataract, or retinal damage. In children, however, there is the added risk for amblyopia, or lazy eye.…”

“…Pressure to the eye could lead to expulsion of intraocular contents and worse visual outcomes. 1 A computed tomography scan of the orbits with 1-mm sections is usually recommended to rule out an intraocular foreign body. Broadspectrum antibiotics are typically given as well as a possible tetanus booster, depending on the nature of the injury.…”

Response to Sharma et al

“…We read with interest Acar et al's 1 article on their newly proposed paediatric penetrating ocular trauma score (POTS). The authors have designed POTS to be used specifically in paediatric penetrating injuries to prognosticate for future visual acuity (VA) rather than using the more widely recognised but non-specific ocular trauma score (OTS) designed by Kuhn et al 2 as part of the United States Eye Injury Registry.…”

“…The visual prognosis in patients with PORN is extremely poor, with final visual acuity of no light perception reported in up to 67% in some series. 1,2 We report a therapeutic challenge of AIDS-associated viral retinitis in which the ganciclovir implant contributed to the eradication of PORN recalcitrant to systemic and intravitreal antivirals.…”

Red eyes in children: red flags and a case to learn from

“…A history of trauma may be helpful, but it may be difficult to establish the mechanism of injury, thus increasing the chances of a delay in diagnosis. 2 The absence of a history of trauma does not exclude injury, as children may be unwilling to disclose an event that may get them into trouble. 1 Reduced vision in a child can lead to rapid decompensation of a squint.…”