儿童和青少年眼外伤：来自一个发展中国家的观点及眼外伤评分的验证
Eye trauma in children and adolescents: Perspectives from a developing country and validation of the ocular trauma score.
作者信息
Oiticica-Barbosa Martina M, Kasahara Niro
机构信息
Department of Ophthalmology, Irmandade da Santa Casa de Misericordia de Sao Paulo, Santa Casa de Sao Paulo School of Medical Sciences, Rua Doutor Cesário Mota Júnior, 112 Sáo Paulo, SP 01221-020, Brazil.
Department of Ophthalmology, Irmandade da Santa Casa de Misericordia de Sao Paulo, Santa Casa de Sao Paulo School of Medical Sciences, Rua Doutor Cesário Mota Júnior, 112 Sáo Paulo, SP 01221-020, Brazil
出版信息
J Trop Pediatr. 2015 Aug;61(4):238-43. doi: 10.1093/tropej/fmv010. Epub 2015 Mar 29.
OBJECTIVE
To investigate the current causes of ocular trauma and to assess the prognostic value of the ocular trauma score (OTS) in children.
DESIGN
Prospective observational study of children with ocular trauma in Sao Paulo, Brazil, over 1 year.
METHODS
Initial OTS categories were calculated for each patient and compared with the final visual result.
RESULTS
Ninety-six patients were included; most were male (73%). Mean age was 7.3 years. Closed globe trauma was the most frequent (74%), followed by open-globe trauma (10.4%). Household items were mainly responsible for the trauma. Correlation between the predicted and achieved visual acuity was good (Kendall tau-b = 0.7192).
CONCLUSION
Closed globe is the most frequent trauma in children and adolescents, and some injuries could be prevented by safety measures and closer adult supervision. The OTS was shown to have limited value in predicting long-term visual acuity in children and adolescents.
目的
探讨眼外伤的当前病因，并评估儿童眼外伤评分（OTS）的预后价值。
设计
对巴西圣保罗1年以上的儿童眼外伤进行前瞻性观察研究。
方法
计算每位患者的初始OTS类别，并与最终视力结果进行比较。
结果
纳入96例患者；大多数为男性（73%）。平均年龄为7.3岁。闭合性眼球外伤最为常见（74%），其次是开放性眼球外伤（10.4%）。家庭用品是造成外伤的主要原因。预测视力与实际视力之间的相关性良好（肯德尔tau-b = 0.7192）。
结论
闭合性眼球外伤是儿童和青少年中最常见的外伤，一些损伤可通过安全措施和成人更密切的监督来预防。OTS在预测儿童和青少年的长期视力方面价值有限。
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