Medizinische Universität Graz Austria/Österreich - Forschungsportal - Medical University of Graz
Gewählte Publikation:
SHR Neuro Krebs Kardio Lipid Stoffw Microb
Schörkhuber, MM; Wackernagel, W; Riedl, R; Schneider, MR; Wedrich, A.
Ocular trauma scores in paediatric open globe injuries.
Br J Ophthalmol. 2014; 98(5):664-668
Doi: 10.1136/bjophthalmol-2013-304469
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- Führende Autor*innen der Med Uni Graz
- Glatz Marlene
- Co-Autor*innen der Med Uni Graz
- Riedl Regina
- Schneider Mona Regina
- Wackernagel Werner
- Wedrich Andreas
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- Abstract:
- To assess the predictive value and the applicability of Ocular Trauma Score (OTS) for paediatric injuries. Retrospective case series of 71 open globe injuries in children less than 18 years of age with a minimum follow-up period of 1 year. The variables of the OTS, the Paediatric Penetrating OTS (POTS), lens injuries and anterior versus posterior segment injuries were analysed for their predictive values in terms of visual outcome. The applicability and the predictive values of OTS and POTS as a whole were then evaluated. Initial visual acuities, retinal detachments, wound locations (p<0.001 each), lens injuries (p=0.001), posterior segment injuries (p=0.002), traumatic cataracts (p=0.010), hyphaema (p=0.011) and vitreous haemorrhages (p=0.026) had significant impacts on visual outcome. The application of OTS proved difficult, as the presence of a mild degree of a relative afferent pupillary defect (RAPD) could not accurately be evaluated in all of our patients. Calculating the OTS without evaluation of RAPD renders it easily applicable for the initial examinations while remaining significantly prognostic (p<0.001). The predictions of the POTS correlated with the actual final visual acuities (p<0.001), but several POTS variables (ie, iris prolapse, age, organic injuries and delay of surgery >48 h) had only limited impacts on visual outcome. The OTS has a high predictive value for visual outcome after open globe injuries in children, even without evaluation of RAPD.
- Find related publications in this database (using NLM MeSH Indexing)
- Adolescent -
- Cataract - diagnosis Cataract - physiopathology
- Child -
- Child, Preschool -
- Eye Foreign Bodies - diagnosis Eye Foreign Bodies - physiopathology
- Eye Injuries, Penetrating - diagnosis Eye Injuries, Penetrating - physiopathology
- Female -
- Follow-Up Studies -
- Humans -
- Infant, Newborn -
- Male -
- Predictive Value of Tests -
- Prognosis -
- Recovery of Function -
- Retinal Detachment - diagnosis Retinal Detachment - physiopathology
- Retrospective Studies -
- Trauma Severity Indices -
- Visual Acuity -