儿童开放性眼球损伤的眼外伤评分
Ocular Trauma Score in childhood open-globe injuries.
作者信息
Uysal Yusuf, Mutlu Fatih M, Sobaci Güngör
机构信息
Department of Ophthalmology, Gülhane Military Medical Academy and Medical School (GATA), Etlik, Ankara, Turkey.
出版信息
J Trauma. 2008 Dec;65(6):1284-6. doi: 10.1097/TA.0b013e31817de3cc.
BACKGROUND
To assess prognostic value of the Ocular Trauma Score (OTS) in childhood open-globe injuries.
METHODS
This retrospective, interventional case series included 61 children with open-globe injuries. Certain numerical values rendered to the OTS variables (visual acuity, rupture, endophthalmitis, perforating injury, retinal detachment, afferent pupillary defect) at presentation were summated and converted into OTS categories; the likelihood of the final visual acuities in the OTS categories were calculated, and compared with those in the OTS Study.
RESULTS
Age ranged from 3 years to 14 years (mean, 8.0 years). Forty-two boys and 19 girls were included. Follow-up ranged from 6 months to 56 months (mean, 18 months). The likelihood of the final visual acuities (no light perception, light perception/hand motion, 1/200-19/200, 20/200-20/50, and > or = 20/40) in the OTS categories (1 through 5) in this group were similar to those in the OTS Study group.
CONCLUSIONS
OTS calculated at initial examination may provide prognostic information in children with open-globe injuries.
背景
评估眼外伤评分（OTS）在儿童开放性眼球损伤中的预后价值。
方法
本回顾性、干预性病例系列研究纳入了61例开放性眼球损伤患儿。对就诊时OTS变量（视力、眼球破裂、眼内炎、穿通伤、视网膜脱离、传入性瞳孔障碍）赋予的特定数值进行汇总，并转换为OTS类别；计算OTS类别中最终视力的可能性，并与OTS研究中的结果进行比较。
结果
年龄范围为3岁至14岁（平均8.0岁）。其中包括42名男孩和19名女孩。随访时间为6个月至56个月（平均18个月）。该组OTS类别（1至5）中最终视力（无光感、光感/手动、1/200 - 19/200、20/200 - 20/50以及≥20/40）的可能性与OTS研究组相似。
结论
初始检查时计算的OTS可为开放性眼球损伤患儿提供预后信息。
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