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

TANYILDIZI, Rumeysa; Turgut, Burak; güngör kobat, sabiha

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

Burak TURGUT, (Department of Ophthalmology, School of Medicine, Firat University, Elazig, Turkey)

Sabiha Güngör KOBAT, (Department of Ophthalmology, School of Medicine, Firat University, Elazig, Turkey)

Rumeysa TANYILDIZI (Department of Ophthalmology, School of Medicine, Firat University, Elazig, Turkey)

Medicine Science

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Yıl: 2014 Cilt: 3 Sayı: 2 Sayfa Aralığı: 1224 - 1233 Metin Dili: İngilizce İndeks Tarihi: 29-07-2022

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

Öz:

Aim of this study was to investigate the visual prognostic value of ocular trauma score (OTS) in traumatic eye injuries. A hundred and fourteen patients with the ocular trauma, which were underwent surgery between January 2008 and January 2012 at Firat University Hospital Clinic of Ophthalmology, were included in the study. The medical records of the patients were reviewed retrospectively. Similarly to the OTS study group, patients were divided into five groups based on their visual acuity (no light perception (NLP), light perception / hand movements (LP/HM), 1/200-19/200, 20/200-20/50, 20/40 and up) at the presentation. Ocular trauma classification was made according to the Birmingham Eye Trauma Terminology (BETT). The variables used in ocular trauma score (initial and final visual acuity, rupture, endophthalmitis, perforation, retinal detachment, afferent pupillary defect) were evaluated for each patient individually. A numerical value (raw number) was assigned to each of these variables. Numerical values related to the OTS variables were converted into OTS categories and the possible or expected visual outcome and prognosis were obtained. The percentages of the eyes in each category in the OTS study were compared with those of the eyes in our study. The average follow–up duration of patients was 10 months (range 5-12 months). The average age of patients was 24,7± 21,3 years. Of the 27 (24%) were females and 87 (76%) were males. When we compared the table of distribution of final visual acuities in all OTS categories, in our group, NLP ratios were significantly lower in category 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). 20/200 to 20/50 ratio in category 4 in our group was significantly higher than that in the OTS group (p=0.000001), whereas 20/40 and over ratio in category 4 in our study group was significantly lower than that in the OTS group, (p=0.000001, respectively). Ocular trauma scoring might provide information about visual outcomes of injury and categorical evaluation of traumatic ocular injuries at initial examination

Anahtar Kelime:

Konular: Genel ve Dahili Tıp

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

1. Strahlman E, Elman M, Daub E, Baker S. Causes of padiatric eye injuries. A population-based study. Arch ophtalmol. 1990;108(4):603-6.
2. Negrel AD, Thylefors B. The global impact of eye injuries. Ophthalmic Epidemiology. 1998;5(3):143-69.
3. Hassett P, Kelleher C. The epidemiology of occupational penetrating eye injuries in Ireland. Occup Med. 1994;44(4):209-11.
4. Maltzman BA, Pruzan H, Mund ML. A survey of ocular trauma. Surv Ophthalmol. 1976;21(3):285-90.
5. Hutton WL, Fuller DG. Factors influencing final visual results in severely injured eyes. Am J Ophthalmol. 1984;97(6):715-22.
6. Turgut B, Gül FC. Terminology, Classification and Scoring in Ocular Trauma: Review. Türkiye Klinikleri J Ophthalmol. 2010;19(1):44-9.
7. Kuhn F, Moris P, Mester V, Witherspoon CD, Mann L. Predicting the severity of an eye injury: the ocular trauma score (OTS). In: Kuhn F, ed. 1st ed, Ocular Traumatology. Berlin: Springer-Verlag, 2008;17-22.
8. Kuhn F, Maisiak R, Mann L, Meter V, Morris R, Witherspoon C. The ocular trauma score (OTS). Ophthalmol Clin North Am. 2002;15(2):163-6.
9. Unver YB, Kapran Z, Acar N, Altan T. Ocular trauma score in open-globe injuries. J Trauma. 2009;66(4):1030-2.
10. Eltutar K. The classification and terminology of ocular trauma-Oküler Travmatoloji ve Medikolegal Oftalmoloji. 1st ed. Turkish Ophthalmology Society No:5, İstanbul, 2007;18-23.
11. De Juan E, Sternberg P, Michels R. Penetrating ocular injuries: types of injuries and visual results. Ophthalmology. 1983;90(11):1318-22.
12. Coleman D. Early vitrectomy in the management of the severely traumatized eye. Am J Ophthalmol. 1982;93(5):543-51.
13. Unal MH, Aydin A, Sonmez M, Ayata A, Ersanli D. Validation of the ocular trauma score for intra ocular foreign bodies in deadly weapon-related open-globe injuries. Ophthalmic Surg Lasers Imaging. 2008;39(2):121-4.
14. Unver YB, Acar N, Kapran Z, Altan T. Visual predictive value of the ocular trauma score in children. Br J Ophthalmol. 2008;92(8):1122-4.
15. Uysal Y, Mutlu FM, Sobaci G. Ocular Trauma Score in child hood open-globe injuries. J Trauma. 2008;65(6):1284-6.
16. Cao H, Li L, Zhang M. Epidemiology of patients hospitalized for ocular trauma in the Chaoshan region of China, 2001-2010. PLoS One. 2012;7(10):e48377.
17. Sobaci G, Akin T, Erdem U, Uysal Y, Karagul S. Ocular trauma score in deadly weapon-related open-globe injuries. Am J Ophthalmol. 2006;141(4):760-1.
18. Ozeç AV, Sincer A, Toker Mİ, Erdoğan H, Arıcı MK. Clinical aspect and visual prognosis in perforated eye injury. Türkiye Klinikleri J Ophthalmol. 2010;19(3):141-

APA	Turgut B, güngör kobat s, TANYILDIZI R (2014). The Usage of Ocular Trauma Scoring in the Visual Prognostic Evaluation of Traumatic Eye Injury. , 1224 - 1233.
Chicago	Turgut Burak,güngör kobat sabiha,TANYILDIZI Rumeysa The Usage of Ocular Trauma Scoring in the Visual Prognostic Evaluation of Traumatic Eye Injury. (2014): 1224 - 1233.
MLA	Turgut Burak,güngör kobat sabiha,TANYILDIZI Rumeysa The Usage of Ocular Trauma Scoring in the Visual Prognostic Evaluation of Traumatic Eye Injury. , 2014, ss.1224 - 1233.
AMA	Turgut B,güngör kobat s,TANYILDIZI R The Usage of Ocular Trauma Scoring in the Visual Prognostic Evaluation of Traumatic Eye Injury. . 2014; 1224 - 1233.
Vancouver	Turgut B,güngör kobat s,TANYILDIZI R The Usage of Ocular Trauma Scoring in the Visual Prognostic Evaluation of Traumatic Eye Injury. . 2014; 1224 - 1233.
IEEE	Turgut B,güngör kobat s,TANYILDIZI R "The Usage of Ocular Trauma Scoring in the Visual Prognostic Evaluation of Traumatic Eye Injury." , ss.1224 - 1233, 2014.
ISNAD	Turgut, Burak vd. "The Usage of Ocular Trauma Scoring in the Visual Prognostic Evaluation of Traumatic Eye Injury". (2014), 1224-1233.

APA	Turgut B, güngör kobat s, TANYILDIZI R (2014). The Usage of Ocular Trauma Scoring in the Visual Prognostic Evaluation of Traumatic Eye Injury. Medicine Science, 3(2), 1224 - 1233.
Chicago	Turgut Burak,güngör kobat sabiha,TANYILDIZI Rumeysa The Usage of Ocular Trauma Scoring in the Visual Prognostic Evaluation of Traumatic Eye Injury. Medicine Science 3, no.2 (2014): 1224 - 1233.
MLA	Turgut Burak,güngör kobat sabiha,TANYILDIZI Rumeysa The Usage of Ocular Trauma Scoring in the Visual Prognostic Evaluation of Traumatic Eye Injury. Medicine Science, vol.3, no.2, 2014, ss.1224 - 1233.
AMA	Turgut B,güngör kobat s,TANYILDIZI R The Usage of Ocular Trauma Scoring in the Visual Prognostic Evaluation of Traumatic Eye Injury. Medicine Science. 2014; 3(2): 1224 - 1233.
Vancouver	Turgut B,güngör kobat s,TANYILDIZI R The Usage of Ocular Trauma Scoring in the Visual Prognostic Evaluation of Traumatic Eye Injury. Medicine Science. 2014; 3(2): 1224 - 1233.
IEEE	Turgut B,güngör kobat s,TANYILDIZI R "The Usage of Ocular Trauma Scoring in the Visual Prognostic Evaluation of Traumatic Eye Injury." Medicine Science, 3, ss.1224 - 1233, 2014.
ISNAD	Turgut, Burak vd. "The Usage of Ocular Trauma Scoring in the Visual Prognostic Evaluation of Traumatic Eye Injury". Medicine Science 3/2 (2014), 1224-1233.