Lee Kong Chian School of Medicine, Singapore, Singapore.
Department of Ophthalmology, National Healthcare Group Eye Institute, Tan Tock Seng Hospital, Novena, 308433, Singapore.
Graefes Arch Clin Exp Ophthalmol. 2022 Apr;260(4):1055-1067. doi: 10.1007/s00417-021-05493-6. Epub 2021 Nov 23.
Ophthalmic trauma is a leading cause of preventable monocular blindness worldwide. The prevalence of ophthalmic trauma varies considerably based on geographic location, socio-economic status, age groups, occupation, and cultural practices such as firework celebrations. Clinical registries are known to be valuable in guiding the diagnosis, management, and prognostication of complex diseases. However, there is currently a lack of a centralized international data repository for ophthalmic trauma. We draw lessons from past and existing clinical registries related to ophthalmology and propose a new suitable international multicenter clinical registry for ophthalmic trauma: the International Globe and Adnexal Trauma Epidemiology Study (IGATES). IGATES is hosted on a secure web-based platform which exhibits user-friendly smart features, an integrated Ocular Trauma Score (OTS) prognosis calculator, efficient data collection points, and schematic graphical software. IGATES currently has 37 participating centers globally. The data collected through IGATES will be primarily used to develop a more robust and improved ophthalmic trauma prognostic classification system, the Ocular Trauma Score-2 (OTS-2), which builds on previous systems such as the Birmingham Eye Trauma Terminology System (BETTS) and Ocular Trauma Score (OTS). Furthermore, IGATES will act as a springboard for further research into the epidemiology, diagnosis, and management of ophthalmic trauma. Ultimately, IGATES serves to advance the field of ophthalmic trauma and improve the care that patients with ophthalmic trauma receive.
眼外伤是全球可预防的单眼盲的主要原因。眼外伤的患病率因地理位置、社会经济状况、年龄组、职业以及烟花庆祝等文化习俗而有很大差异。临床登记册被认为对指导复杂疾病的诊断、管理和预后具有重要价值。然而，目前缺乏一个集中的国际眼外伤数据存储库。我们从过去和现有的与眼科学相关的临床登记册中吸取经验，并提出了一个新的适合国际多中心眼外伤临床登记册：国际眼球和附属器创伤流行病学研究（IGATES）。IGATES 托管在一个安全的基于网络的平台上，该平台具有用户友好的智能功能、集成的眼部创伤评分（OTS）预后计算器、高效的数据收集点和示意图软件。IGATES 目前在全球有 37 个参与中心。通过 IGATES 收集的数据将主要用于开发更强大和改进的眼部创伤预后分类系统，即眼部创伤评分-2（OTS-2），该系统建立在以前的系统之上，如伯明翰眼部创伤术语系统（BETTS）和眼部创伤评分（OTS）。此外，IGATES 将成为进一步研究眼部创伤的流行病学、诊断和管理的跳板。最终，IGATES 旨在推动眼外伤领域的发展，并改善眼外伤患者的护理。
