Serdarevic Raif
Ophthalmology Clinic, Clinical Center University of Sarajevo.
Acta Inform Med. 2015 Apr;23(2):81-5. doi: 10.5455/aim.2015.23.81-85. Epub 2015 Apr 14.
Traumatic injuries of the eye are the most common cause of loss of visual function. In our study we performed Ocula Trauma Score (OTS). We compared with the values of visual acuity of injury and thus get an accurate model for determining the prognostic value of the final visual acuity before treatment of the patient. This model is a reliable test for both the ophthalmologist and the patient.
The aim of this study was to show the socioepidemiological and demographic profile, as well as the most common mechanism in ophthalmic injuries, so to determine the final visual acuity and assessment and evaluation of sensitivity and specificity of ocular trauma score (OTS), and most importantly to determine the prognostic value final visual acuity after eye injuries.
We conducted a clinical-epidemiological, retrospective-prospective study at the Department of Ophthalmology, Clinical Centre University in Sarajevo in the period 2009-2011. A sample of 124 patients with diagnosed closed of eye injuries were recruited. We applied Classifying Closed Globe Injury, performed Calculating the OTS and convert of total raw points into % chance of vision outcomes.
Comparison of age groups by gender shows that there is no statistically significant (x(2) = 5.155; p = 0.2718). Of the total number of closed eye injuries (N = 124) at the admission from groups D and E with the worst vision were 29 patients (23.38%), in group C had low visual acuity of 20 (16.12%), in group B the mean visual acuity 33 (26.61%), and in group A well-preserved visual acuity 42 (33.87%) patients. On the demission patients with well-preserved visual function was 84 (67.74%), with a medium of visual function 10 (80.64%), while the poorer visual function was 4 (3.225%) and 7 (5.645%) patients had a sense of light and projections and 1 (0.8%) patient had lost visual acuity-amaurosis. 18 (14:51%) patients did not take their eyesight due to a fresh post-operative recovery.
Data on each patient are based on the possibility of such characteristics of the mechanism of injuries presentation of vision at the beginning of disease, injury and zones relative afferent pupillary defect possibility assumptions what will be with the vision postoperatively.
眼部创伤是导致视功能丧失的最常见原因。在我们的研究中，我们进行了眼外伤评分（OTS）。我们将其与损伤时的视力值进行比较，从而得出一个准确的模型，用于确定患者治疗前最终视力的预后价值。该模型对眼科医生和患者而言都是一项可靠的检测。
本研究的目的是展示社会流行病学和人口统计学特征，以及眼部损伤最常见的机制，从而确定最终视力，并评估和评价眼外伤评分（OTS）的敏感性和特异性，最重要的是确定眼外伤后最终视力的预后价值。
我们于2009年至2011年期间在萨拉热窝临床中心大学眼科进行了一项临床流行病学、回顾性-前瞻性研究。招募了124例诊断为闭合性眼外伤的患者样本。我们应用了闭合性眼球损伤分类法，进行了OTS计算，并将总原始分数转换为视力预后的百分比概率。
按性别对年龄组进行比较显示，差异无统计学意义（x(2)=5.155；p = 0.2718）。在入院时，D组和E组视力最差，在闭合性眼外伤总数（N = 124）中有29例患者（23.38%）；C组视力较低，有20例患者（16.12%）；B组平均视力，有33例患者（26.61%）；A组视力保存良好，有42例患者（33.87%）。出院时，视力功能保存良好的患者有84例（67.74%），视力功能中等的有10例（80.64%），而视力功能较差的有4例（3.225%），有光感和投影的有7例（5.645%），视力丧失 - 黑矇的有1例（0.8%）。18例（14:51%）患者因术后近期恢复而未检查视力。
关于每位患者的数据基于损伤机制的此类特征、疾病初期视力表现、损伤及相对传入性瞳孔障碍区域，以及对术后视力情况的可能性假设。
