Application of pediatric ocular trauma score in pediatric open globe injuries

Xue, Chao; Yang, Li-Chun; Kong, Yong

doi:10.18240/ijo.2020.07.13

Cited by 8 publications

(6 citation statements)

References 33 publications

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“…The POTS is a tool to predict prognosis and visual outcomes regarding eye injuries in the pediatric population (3). Several studies have demonstrated that it is a reliable prognostic scoring system in pediatric globe injury (36,37). Similar to these aforementioned studies, we found that VA and POTS scores were correlated in children with visual acuity of 0.1 and above at the final visit.…”

Section: Discussionsupporting

confidence: 85%

“…Kuhn et al designed the OTS to determine the potential final visual outcome in patients with eye injury (35). Even though it has been a substantial tool to evaluate the prognosis of VA in ocular trauma, some studies revealed its limited predictive efficacy in pediatric ocular injury (36). In addition, OTS requires the evaluation of relative afferent pupillary defect (RAPD), which is difficult to assess especially in children.…”

Section: Discussionmentioning

confidence: 99%

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Pediatric Open Globe Injury in a University-Based Tertiary Hospital in the Anatolian Region

Bozali

Yalınbaş

Apa

et al. 2022

Clinical and Experimental Health Sciences

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Objective: Evaluation of the epidemiological and clinical features of pediatric open globe injury. Methods: Medical records of 51 patients under the age of 18 who presented to the emergency department with open globe injury (OGI) between 2009 and 2021 were evaluated retrospectively. Patient demographics, Birmingham Eye Trauma Terminology (BETT) category, pediatric ocular trauma score (POTS), visual acuity (VA), site of injury, and seasonal distribution were evaluated. Results: Of all patients included, 40 (78.4%) were male, 11 (21.6%) were female, and the mean age was 9.6±5.2 years. Zone I injury was detected in 31 (60.8%) patients. The most common cause of injury was sharp objects such as metal or wood splinters. Of all injuries, 29 (56.9%) occurred outdoors. Ocular trauma occurred more frequently in boys, especially in the summer months. Initial VA was less than 0,1 in 21 (41.2%) of the patients, between 0.1-0.5 in 9 (17.6%) and 0.6 and above in 5 (9.8%) patients. At the final visit, VA was less than 0.1 in 9 (17.6%) patients, 0.1-0.5 in 10 (19.6%) patients, and 0.6 and above in 18 (35.3%) patients. Final VA was related to the Zone and was lower as the Zone increased (p:0.011). VA and POTS scores were positively correlated at the final visit (p=0.001). Conclusion: It is substantial for emergency physicians to have a comprehensive understanding of pediatric globe injuries so that children with suspected ocular trauma should be evaluated by an ophthalmologist to prevent medicolegal problems.

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Section: Discussionsupporting

confidence: 85%

Section: Discussionmentioning

confidence: 99%

Pediatric Open Globe Injury in a University-Based Tertiary Hospital in the Anatolian Region

Bozali

Yalınbaş

Apa

et al. 2022

Clinical and Experimental Health Sciences

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“…In addition, open glob injuries that cause serious losses in vision may negatively affect the mental health of the child and family and cause psychological trauma. 1,[13][14][15][16] The main purpose here should be examining the causes of trauma, to raise the parents' awareness and the precautions, even if they want to protect their children as much as possible, and thus to prevent trauma. In our retrospective study, the epidemiological factors and risk groups that cause OGI in our region, and the factors affecting the prognosis were evaluated.…”

Section: Discussionmentioning

confidence: 99%

Pediatrik Hastalarda Oküler Travmaların Etiyolojik Özellikleri ve Görsel Sonuçları

Pirhan

Subaşı

Kucuk³

2022

Kocaeli Üniversitesi Sağlık Bilimleri Dergisi

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Amaç: Açık glob yaralanması (AGY) nedeni ile acil kliniğimize başvuran, tedavi ve takibi yapılan 60 pediatrik olgunun demografik özelliklerini ve prognozu etkileyen faktörleri araştırmak. Yöntem: Kliniğimizde 2010-2021 yılları arasında AGY nedeni ile ameliyat edilip, en az bir yıl takip yapılmış olan 16 yaş ve altı 69 olgunun dosya kayıtları retrospektif olarak incelendi. Kayıtlardan AGY’nin tipi, oluş nedeni, eşlik eden muayene bulguları, hastaneye başvuru zamanı ile ilk ve son görme keskinlikleri (GK), ek cerrahileri kaydedildi. Bulgular: Olguların ortalama yaşı 11±5 yıl idi. %17,4’si kız %82,6’sı erkek idi. AGY’nin şekli en sık korneal kesi, en sık etiyolojik nedeni kesici ve delici aletler (%65,1) oluşturmakta idi. Olguların %87 sinde sadece bölge 1, %40,6 sında bölge 2, %13 ünde bölge 3 etkilenmişti. Olguların %37,7 sinde relatif afferent pupil defekti (RAPD) vardı. %5,8’i rüptür, %8,7’si retina dekolmanı, %2,9’u endoftalmi, %4,3’ü perforan yaralanma idi. Olguların başvuru anında %7’sinde GK değerlendirilemezken, %60’ında 0.1 ve daha altında, %25,7’sinde 0.1-0,6. %4,3’ünde ise 0.6’dan daha iyi GK’ya sahipti. Olguların takiplerinde 6. ayda ise %2,9’ unda GK değerlendirilemezken (inop), %11,4’ ünde 0.1 ve daha altında, %25,7’sinde 0.1-0.6 ve %60’ında ise 0.6’dan daha iyi GK’ya sahipti. Oküler travma skoru (OTS) 74±16, pediatrik oküler travma skoru (POTS) 64±19 idi. OTS başlangıçtaki GK ile orta derecede ilişkili (r=0,687, p<0,001), takipteki GK ile orta derecede ilişkili (r=0,611, p<0,001) idi. Pediatrik oküler travma skorunun korelasyon değerleri ise daha düşük bulundu (başlangıç GK ile r=0,574, p<0,001). Sonuç: Pediatrik AGY’de görsel prognozu tahmin edebilmek için RAPD değerlendirilemediğinde bile OTS güvenilir bir araçtır.

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“…According to the Birmingham Eye Trauma Terminology [ 15 ], open-globe injuries can be differentiated into two classes: the first class includes penetrating trauma caused by sharp objects, such as scissors, knives, and needles; the second class includes blunt force trauma caused by fists, hits, falls, fireworks explosions, balls, etc. Depending on the Open Trauma Score (OTS) [ 16 ], eye injuries can be classified into three zones on the basis of the wound location: Zone I includes injuries that the open wounds of the eyeball are isolated to the cornea or corneoscleral limbus; Zone II includes injuries that the wound involve the anterior 5 mm of the sclera; and Zone III includes injuries in which full-thickness wounds extend into the sclera more than 5 mm posterior to the corneoscleral limbus.…”

Section: Methodsmentioning

confidence: 99%

Paediatric traumatic cataracts in Southwest China: epidemiological profile

Wang

Yin

et al. 2022

BMC Ophthalmol

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Background Paediatric traumatic cataracts are an important but preventable cause of acquired blindness. Understanding the epidemiology of paediatric traumatic cataracts is a prerequisite for prevention. This study aimed to characterize the epidemiological profile of paediatric traumatic cataracts in southwest China. Methods The medical records of children (age range, 0–14 years old) who developed traumatic cataracts following open-globe injuries and were hospitalized at the Department of Ophthalmology at West China Hospital, between January 2011 and December 2020 were retrospectively analyzed. The demographic data, causes of injuries, posttraumatic complications, and visual acuity were recorded and analysed. Results A total of 716 eyes from 716 patients were analysed in this study, including 521 (72.8%) males and 195 females in a gender ratio of 2.67:1; 117 of the patients were of ethnic minorities. Paediatric traumatic cataracts occurred more frequently in winter (32.5%). Sharp metal objects (scissors/knives/needles/sheet metal/nails/darts) – induced ocular injuries accounted for the highest proportion, followed by botanical sticks (wooden sticks /bamboo sticks /bamboo skewers)-induced injuries, and then stationery items (pencils/pens/rulers/paper)-induced injuries. The majority (68.7%) of the patients were aged 2–8 years, and the peak range of age was 4 - 6 years. The injuries were a result of penetrating trauma in 64.9% of patients, and blunt force trauma in the remainder (35.1%). Additionally, 131 (18.3%) cases developed posttraumatic infectious endophthalmitis after injuries. Patients with eye injuries caused by needles (P < 0.001), wooden sticks (P = 0.016), and bamboo skewers (P = 0.002) were at a greater risk of developing infectious endophthalmitis. The most common identified foreign organism was Streptococcus, which accounted for 42% (21/50) of all culture-positive specimens and was sensitive to vancomycin. Among the children who were younger than 5 years, 44.4% (55/124) of those with traumatic cataracts presented a corrected distance visual acuity less than or equal to 0.1 after undergoing cataract surgery, but among the children who were older than 5 years, this proportion was significantly smaller, just 20.4% of children aged 6-10 years (P < 0.001) and 18.4% of children aged 11-14 years (P < 0.001). Conclusion The main causative agents of paediatric traumatic cataracts in southwest China were sharp metal objects, botanical sticks, and stationery items. Specific preventive measures are essential to reduce the incidence of paediatric traumatic cataract.

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Application of pediatric ocular trauma score in pediatric open globe injuries

Cited by 8 publications

References 33 publications

Pediatric Open Globe Injury in a University-Based Tertiary Hospital in the Anatolian Region

Pediatric Open Globe Injury in a University-Based Tertiary Hospital in the Anatolian Region

Pediatrik Hastalarda Oküler Travmaların Etiyolojik Özellikleri ve Görsel Sonuçları

Paediatric traumatic cataracts in Southwest China: epidemiological profile

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