The Ocular Trauma Score (OTS)

Kuhn, Ferenc; Maisiak, Richard; Mann, LoRetta; Mester, Viktória; Morris, Robert E.; Witherspoon, C. Douglas

doi:10.1016/s0896-1549(02)00007-x

Cited by 510 publications

(453 citation statements)

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“…12 The ocular trauma score (OTS) was retrospectively calculated as described by Kuhn and co-workers. 13 The period between primary repair and vitreoretinal surgery was noted for all cases. Spearman's r test was used to assess the statistical correlation between BCVA and OTS.…”

Section: Methodsmentioning

confidence: 99%

Chorioretinectomy for perforating eye injuries

Özdek

Hasanreisoğlu

Yüksel

2013

Eye

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Purpose To report the outcomes of chorioretinectomy in severe ocular injuries where a foreign body penetrated the choroid or perforated the globe. Methods The study sample consisted of a retrospective, non-comparative, consecutive interventional case series of 13 perforating or severe intraocular foreign body ocular injuries that were treated at a single institution from March 2008 to March 2010. All the patients were operated with 20-gauge three-port pars plana vitrectomy (PPV) by removing the choroid and/or retina with scar tissue at the perforation site of the foreign body. The reports of patients were examined for best-corrected visual acuity, globe survival, retinal detachment status, and proliferative vitreoretinopathy. Results A total of 13 eyes of 13 patients with a mean age of 25.8 ± 9.0 years (range, 11-38 years) were followed for a median of 13.8±5.4 months (range, 8-29 months). The mean time period between injury and the vitreoretinal surgery was 13.6±9.3 days. All had an exit/impact site wound, eight of which were located in the posterior pole, which caused choroidal and retinal incarceration in the macular area. PPV together with chorioretinectomy, endolaser applications, silicone oil tamponade, with/ without encircling band, and lensectomy surgery was applied to all of them. Final best-corrected visual acuity (BCVA) Z20/200 occurred in 4 of 13 (30.76%) patients. Globe survival rates were 100% (13 of 13), and final retinal attachment rate was 84.6% (11 of 13). The proliferative vitreoretinopathy rate was 2 of 13 (15.3%). Conclusion Chorioretinectomy is a surgical option that may decrease post-traumatic proliferative vitreoretinopathy and tractional retinal detachment rates, thus improving final BCVA and increasing globe survival rates when a foreign body penetrates the choroid and perforates the globe.

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Section: Methodsmentioning

confidence: 99%

Chorioretinectomy for perforating eye injuries

Özdek

Hasanreisoğlu

Yüksel

2013

Eye

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“…17 The OTS score was calculated by assigning a raw point value for the initial visual acuity and then subtracting the appropriate raw points for each diagnosis of globe rupture, endophthalmitis, perforating injury, retinal detachment, and an RAPD ( Table 1). The scores were grouped into five categories and each category gave a prediction of the patient's probability of attaining a specific visual acuity at a 6-month follow-up.…”

Section: The Otsmentioning

confidence: 99%

Visual outcome after open globe injury: a comparison of two prognostic models—the Ocular Trauma Score and the Classification and Regression Tree

Yu‐Wai‐Man

Steel

2009

Eye

120

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Aims To compare the ocular trauma score (OTS) and the classification and regression tree (CART) as prognostic models of visual outcome after open globe injury. Methods A retrospective review of 100 consecutive open globe injuries at the Sunderland Eye Infirmary was conducted from January 1999 to December 2007. Univariate chi-square analysis was used to identify the variables associated with visual outcome. We compared the CART and OTS predictions with the actual visual outcomes and calculated the sensitivity and specificity of each model. Results The variables most predictive of visual loss were an RAPD, poor initial vision, lid laceration, posterior wound, and globe rupture. The sensitivity to predict visual survival (LP or better) was 97.4% for OTS and 93.5% for CART. The specificity to predict no vision (NPL or enucleation) was 100% for OTS and 73.9% for CART. The sensitivity to predict minimal-to-severe visual loss (3/60 or better) was 90.9% for OTS and 85.7% for CART. The specificity to predict profound visual loss (worse than 3/60) was 100% for OTS and 81.8% for CART. Conclusions We identified several factors that can help in deciding on the prognostic value of primary globe repair. Both the OTS and CART had high predictive accuracy, but the OTS had higher prognostic accuracy and could be used in counselling patients and in management decision-making.

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“…8 In the United States, eye injuries are the second most frequent cause of presentation for ocular treatment in pediatric cases, following strabismus. 2,9,10 The importance of eye trauma has increased because of the relatively high rate of trauma in the pediatric age group. Various studies have reported that 20-50% of ocular injury admissions are children.…”

Section: Introductionmentioning

confidence: 99%

A new ocular trauma score in pediatric penetrating eye injuries

Acar

Tök

Acar

et al. 2011

Eye

133

106

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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.

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The Ocular Trauma Score (OTS)

Cited by 510 publications

References 0 publications

Chorioretinectomy for perforating eye injuries

Chorioretinectomy for perforating eye injuries

Visual outcome after open globe injury: a comparison of two prognostic models—the Ocular Trauma Score and the Classification and Regression Tree

A new ocular trauma score in pediatric penetrating eye injuries

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