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

Ünal, Melih; Aydın, Ahmet; Sönmez, Murat; Ayata, Ali; Erşanli, Dilaver

doi:10.3928/15428877-20080301-15

Cited by 23 publications

(11 citation statements)

References 13 publications

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“…Anatomical and visual outcomes, as well as postoperative complications in this study were comparable to those reported in the literature [ 4 – 6 ]. The final visual acuity of eyes with RD was lower when compared to eyes without a RD.…”

Section: Discussionsupporting

confidence: 85%

“…However, it had been validated in only a few subgroups of patients with IOFBs. Unal et al [ 6 ] reported the prognostic value of OTS in cases of deadly weapon-related open-globe injuries with IOFB, Purtskhvanidze et al [ 7 ] in rotating wire brush injuries with IOFB, and Zhu et al [ 8 ] in siderosis bulbi with retained IOFB. Although all of them were associated with IOFBs, the mechanism of injury, presenting clinical characteristics, and distribution of OTS scores were very different among these studies.…”

Section: Discussionmentioning

confidence: 99%

“…More than 2000 cases from the United States and Hungarian Eye Injury Registries were analyzed and > 100 variables were evaluated to identify the best predictors of outcome at 6 months after injury [ 3 ]. OTS has been widely used for this purpose in open and closed globe trauma [ 4 , 5 ], however, only a few studies have evaluated the prognostic value of OTS in patients with retained intraocular foreign bodies (IOFBs) [ 6 – 8 ].…”

Section: Introductionmentioning

confidence: 99%

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Prognostic value of ocular trauma score for open globe injuries associated with metallic intraocular foreign bodies

Yaşa¹,

Erdem²,

Demircan³

et al. 2018

BMC Ophthalmol

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BackgroundThe prognostic value of the ocular trauma score (OTS) in patients who underwent 23-gauge pars plana vitrectomy (23-G PPV) for surgical removal of posterior segment metallic intaocular foreign bodies (IOFB) was evaluated.MethodsPatients who underwent 23-G PPV for surgical removal of retained metallic IOFBs were retrospectively analyzed. OTS score for each patient was calculated and raw scores were converted to their corresponding OTS categories. The final VAs in study patients were compared with their respective OTS categories.ResultsTwenty-five eyes from 25 patients were examined. Twenty-four (96%) of the patients were male, and the mean age was 34 ± 12 years. The time from injury to 23-G PPV was 9 ± 4 days. Fourteen (56%) patients had zone 1 trauma, eight (32%) patients had zone 2 trauma, and three (12%) patients had zone 3 trauma. Postoperative visual acuity was ≥ 20/200 in 14 (56%) of the patients and ≥ 20/40 in seven (28%) eyes. At the final visit, anatomical success was achieved in 86% of patients with retinal detachment at presentation. No statistically significant differences were found between our final VAs and OTS scores.ConclusionOTS, which provides prognostic information after general ocular trauma, may also provide valuable prognostic information for patients who undergo 23-G PPV for the surgical removal of metallic posterior segment IOFBs.

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Section: Discussionsupporting

confidence: 85%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Prognostic value of ocular trauma score for open globe injuries associated with metallic intraocular foreign bodies

Yaşa¹,

Erdem²,

Demircan³

et al. 2018

BMC Ophthalmol

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“…In 62 patients IOFB was single in 93.5%; it was metallic in 85.5%; and intra-global in 83.9%. Unal 17 evaluated prognostic value of the ocular trauma score in cases of deadly weapon related open globe injuries with intraocular FBs.…”

Section: Discussionmentioning

confidence: 99%

New classification of ocular foreign bodies

Shukla¹

2016

Chinese Journal of Traumatology

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Foreign bodies (FBs) in the eye are usually classified as intraocular (IOFB) or extraocular (EOFB). In IOFB the FB is within the eye ball and in EOFB it is outside. This classification seems oversimplified. Hence a new classification is proposed on the basis of FB locations, in which adnexal FBs (in orbit, lids, conjunctiva and lacrimal apparatus) are also included. These are further classified according to their exact location. FBs can also be classified in many other ways. Besides IOFB and EOFB, another condition IMFB (intramural foreign body) is also described. The FBs are situated within cornea or sclera and are neither IOFB nor EOFB. Ocular trauma also includes trauma to ocular adnexa and hence the terms IOFB and EOFB have been replaced by IGFB (intraglobal foreign body) and EGFB (extraglobal foreign body).

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“…Ocular trauma score is currently seen as an ideal system to predict to prognosis because of the known and used characteristics of the system, the prognostic values being qualitative not quantitative, the values that are obtained being simple variables and possible to calculate, and the system being repeatable and reliable [13]. OTS is similar prognostic system to APGAR score that is used in children.…”

Section: Resultsmentioning

confidence: 99%

The Usage of Ocular Trauma Scoring in the Visual Prognostic Evaluation of Traumatic Eye Injury

Turgut¹,

Kobat²,

Tanyıldızı³

2014

Med-Science

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Aim of this study was to investigate the visual prognostic value of ocular trauma score (OTS) 1/200-19/200, 20/200-20/50, 20/40 and up) 1 and 2 (p=0.0017, p=0.00009, respectively), whereas LP/HM ratios in categories 1, 2 and 3were significantly higher in our group than in the OTS study (p=0.00002, p=0.001, p=0.000001, respectively). When we compared final visual acuities in each categories of our study and the OTS study, in our study, 20/200 to 20/50 and 20/40 and over ratios in categories 2 and 3 were significantly lower than those in the OTS study, (p=0.00003, p=0.003, p=0.000001, respectively

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

Abstract: 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.

Cited by 23 publications

References 13 publications

Prognostic value of ocular trauma score for open globe injuries associated with metallic intraocular foreign bodies

Prognostic value of ocular trauma score for open globe injuries associated with metallic intraocular foreign bodies

New classification of ocular foreign bodies

The Usage of Ocular Trauma Scoring in the Visual Prognostic Evaluation of Traumatic Eye Injury

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