Faculty of Medicine, Department of Ophthalmology, Mersin University, Mersin.
Kilis State Hospital, Ophthalmology Clinic, Kilis.
J Craniofac Surg. 2022;33(2):e105-e107. doi: 10.1097/SCS.0000000000007935.
The aim of this study is to determine the demographic characteristics of pediatric open globe injuries, evaluate the ocular trauma scores (OTS), and predict the visual outcomes.
All patients with pediatric open globe injuries who applied to Department of Ophthalmology, Faculty of Medicine, Mersin University between January 2018 and December 2019 were included in this study. Age, gender, type of injury, time of admission, time to surgery, OTS, and pediatric ocular trauma score (POTS) were calculated for each patient. The relation between these findings and final visual acuity (VA) after 12 months of follow-up was examined.
Forty-two eyes of 41 patients were included in this study. The most common injuries observed were sharp objects such as knives (23.8%) and stones (23.8%). The wound locations were zone I in 36 patients (85.7%) and zone II in 6 patients (14.3%). The most common concomitant eye pathologies were iris prolapse in 37 (88.1%) and hyphema in 29 (69.1%). The mean original OTS was 77.21 and the mean POTS was 46.78. Association between OTS/POTS and final VA was very good (Kendall Tau-b = 0.665, P < 0.001, Kendall Tau-b = 0.505, P < 0.001, respectively). The level of agreement between the predicted VA for OTS and that for POTS was almost perfect (kappa = 0.8726).
This study shows that the original OTS is still the gold standard in pediatric cases.
本研究旨在确定小儿开放性眼球损伤的人口统计学特征，评估眼外伤评分（OTS），并预测视力结果。
本研究纳入 2018 年 1 月至 2019 年 12 月期间在梅辛大学医学院眼科就诊的所有小儿开放性眼球损伤患者。为每位患者计算年龄、性别、损伤类型、入院时间、手术时间、OTS 和小儿眼外伤评分（POTS）。检查这些发现与 12 个月随访后最终视力（VA）之间的关系。
本研究纳入 41 例患者的 42 只眼。最常见的损伤是刀（23.8%）和石头（23.8%）等锐器。伤口部位 36 例（85.7%）位于 1 区，6 例（14.3%）位于 2 区。最常见的伴发性眼病是虹膜膨出 37 例（88.1%）和前房积血 29 例（69.1%）。原始 OTS 的平均值为 77.21，POTS 的平均值为 46.78。OTS/POTS 与最终 VA 之间的相关性非常好（Kendall Tau-b = 0.665，P < 0.001，Kendall Tau-b = 0.505，P < 0.001）。OTS 和 POTS 预测 VA 之间的一致性水平几乎完美（kappa = 0.8726）。
本研究表明，原始 OTS 仍然是小儿病例的金标准。
