Citation

Acar U, Tok OY, Acar DE, Burcu A, Ornek F. Eye 2011; 25(3): 370-374.

Affiliation

Ministry of Health, Ankara Diskapi Yildirim Beyazit Training and Research Hospital, Department of Ophthalmology, Ankara, Turkey.

Copyright

(Copyright © 2011, Nature Publishing Group)

DOI

10.1038/eye.2010.211

PMID

21252953

PMCID

PMC3178309

Abstract

PurposeTo assess the prognostic value of a new ocular trauma score (OTS) in pediatric penetrating injuries.MethodsChildren ≤15 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.ResultsIn total, 30 eyes in 29 patients (41.38% female, 58.62% male) with a mean age of 6.83±4.00 years (range: 1-15 years) were included in the study. Initial VA, which was evaluated in 22 patients, was as follows: no light perception (NLP) in 2 (9.09%) patients, light perception (LP) to hand motion (HM) in 8 (36.36%) patients, counting fingers in 6 (27.27%) patients, 0.1-0.5 in 4 (18.18%) patients, and ≥0.6 in 2 (9.09%) patients. Final VA, which was evaluated in 27 patients, was as follows: NLP in 3 (11.11%) patients, LP to HM in 3 (11.11%) patients, counting fingers in 2 (7.41%) patients, 0.1-0.5 in 11 (40.74%) patients, and ≥0.6 in 8 (29.63%) patients. The relationship between initial VA and final VA was statistically significant (P<0.001).ConclusionsThe new OTS calculated at initial examination may be of prognostic value in children with penetrating eye injuries.Eye advance online publication, 21 January 2011; doi:10.1038/eye.2010.211.

Language: en