开放性眼球损伤的眼外伤评分

Ocular trauma score in open-globe injuries.

作者信息

Unver Yaprak Banu, Kapran Ziya, Acar Nur, Altan Tuğrul

机构信息

Beyoğlu Eye Research and Training Hospital, Istanbul, Turkey.

出版信息

J Trauma. 2009 Apr;66(4):1030-2. doi: 10.1097/TA.0b013e3181883d83.

DOI:10.1097/TA.0b013e3181883d83

PMID:19359910

Abstract

BACKGROUND

To determine the value of calculating an ocular trauma score (OTS) for patients with open-globe injuries. OTS evaluating system can provide valuable prognostic information, and its use may be an asset in counseling patients with open-globe injuries.

METHODS

This study was conducted as a retrospective review of 114 eyes of 114 patients who presented with open-globe injuries between January 2001 and July 2006. OTS variables (visual acuity, rupture, endophthalmitis, perforating injury, retinal detachment, and afferent pupillary defect) were determined and OTS was calculated in 114 eyes of 114 patients at the time of initial examination. In this study, presenting and final visual acuity were grouped (1 through 5) as > or = 20/40, 20/200 to 20/50, 1/200 to 19/200, light perception (LP)/hand motion (HM), and no light perception (NLP), similar to the OTS study group. Numerical values to the OTS variables were converted into OTS categories. Similarity of final visual acuities by groups was compared with those in the OTS study. Patients under the age of two and the ones with incomplete data for OTS variables were excluded.

RESULTS

When comparing the distribution of final visual acuity in all OTS categories, no statistically significant difference was found (p = 0.35) between the results of our study and the OTS study group. NLP ratio in category 1 and > or = 20/40 ratio in category 5 were statistically higher than in our study (p = 0.01). However, in our study, category 2 of LP/HM ratio (p < 0.0001) was statistically higher than in the OTS study. The likelihood of the final visual acuities (NLP, LP/HM, 1/200 to 19/200, 20/200 to 20/50, and > or = 20/40) in the other OTS categories in this group was similar to those in the OTS study group. The OTS showed positive correlation with final visual acuity (p < 0.001).

CONCLUSION

In open-globe injuries, a commonly accepted system for calculating ocular trauma score (OTS) can provide reliable prognostic information.

摘要

背景

确定计算开放性眼球损伤患者眼外伤评分（OTS）的价值。OTS评估系统可提供有价值的预后信息，其应用可能有助于为开放性眼球损伤患者提供咨询。

方法

本研究是对2001年1月至2006年7月期间114例开放性眼球损伤患者的114只眼进行的回顾性研究。确定OTS变量（视力、眼球破裂、眼内炎、穿通伤、视网膜脱离和传入性瞳孔障碍），并在初次检查时计算114例患者114只眼的OTS。在本研究中，将初始视力和最终视力分为1至5组（与OTS研究组类似）：≥20/40、20/200至20/50、1/200至19/200、光感（LP）/手动（HM）和无光感（NLP）。将OTS变量的数值转换为OTS类别。比较该组其他OTS类别中最终视力组间的相似性与OTS研究中的相似性。排除2岁以下患者和OTS变量数据不完整的患者。

结果

比较所有OTS类别中最终视力的分布时，本研究结果与OTS研究组之间未发现统计学显著差异（p = 0.35）。1类中的NLP比例和5类中的≥20/40比例在统计学上高于本研究（p = 0.01）。然而，在本研究中，LP/HM比例的2类（p < 0.0001）在统计学上高于OTS研究。该组其他OTS类别中最终视力（NLP、LP/HM、1/200至19/200、20/200至20/50和≥20/40）的可能性与OTS研究组相似。OTS与最终视力呈正相关（p < 0.001）。