印度患者开放性和闭合性眼球损伤中眼外伤评分（OTS）的验证

Validation of ocular trauma score (OTS) in open- and closed-globe injuries in Indian patients.

作者信息

Noble Fatema J, Lahane Sumeet T, Lahane Tatyarao P, Parekh Ragini H, Lahane Sayalee T, Dhaytadak Priyanka P, Jain Ashish K

机构信息

Department of Ophthalmology, Grant Government Medical College and Sir JJ Group of Hospitals, Mumbai, Maharashtra, India.

出版信息

Indian J Ophthalmol. 2025 Jun 1;73(Suppl 3):S498-S501. doi: 10.4103/IJO.IJO_2737_24. Epub 2025 May 30.

DOI:10.4103/IJO.IJO_2737_24

PMID:40444312

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12178410/

Abstract

PURPOSE

To validate the predictive value of the ocular trauma score (OTS) in open- and closed-globe eye injuries in the Indian context.

DESIGN

Prospective interventional case series.

METHODS

This study, conducted at a tertiary healthcare institute from January 2018 to June 2019, included 150 eyes of 150 patients with open- and closed-globe injuries. Inclusion criteria were patients with globe injuries who provided informed consent and had complete OTS data. Exclusion criteria included electric, chemical, and thermal injuries, prior surgery, pre-existing poor visual acuity (VA), and severe systemic injuries. There was no randomization. Demographic details, initial and final VA, injury type, and OTS variables were recorded. Patients were classified into OTS categories preoperatively based on Kuhn et al.'s system, and VA distribution was compared with the original study. The main outcome was to assess the correlation between the final BCVA at 6 months post-intervention and the predicted VA based on the OTS category.

RESULTS

A total of 150 patients (72% open globe, 28% closed globe) were included, with a male-to-female ratio of 4.5:1. The mean age ± SD was 29.34 ± 17.49 years. OTS classification showed 6% in OTS 1, 17% in OTS 2, 67% in OTS 3, 4% in OTS 4, and 6% in OTS 5. Final VA was ≤20/40 (41%), 20/50-20/200 (20%), 20/200-1/200 (15%), HM/PL (15%), and NLP (9%). Final VA post-treatment correlated with predicted VA as per the OTS category (Spearman's r = 0.53, P < 0.001).

CONCLUSION

OTS provides reliable prognostic information and has fair predictive value for final VA in open- and closed-globe injuries.

摘要

目的

在印度背景下验证眼外伤评分（OTS）对开放性和闭合性眼球损伤的预测价值。

设计

前瞻性干预病例系列研究。

方法

本研究于2018年1月至2019年6月在一家三级医疗机构进行，纳入了150例开放性和闭合性眼球损伤患者的150只眼。纳入标准为眼球损伤患者，且患者提供了知情同意书并拥有完整的OTS数据。排除标准包括电击伤、化学伤和热烧伤、既往手术史、术前视力差、严重全身损伤。未进行随机分组。记录患者的人口统计学细节、初始和最终视力、损伤类型以及OTS变量。根据库恩等人的系统在术前将患者分为OTS类别，并将视力分布与原始研究进行比较。主要结局是评估干预后6个月时的最终最佳矫正视力（BCVA）与基于OTS类别的预测视力之间的相关性。

结果

共纳入150例患者（72%为开放性眼球损伤，28%为闭合性眼球损伤），男女比例为4.5:1。平均年龄±标准差为29.34±17.49岁。OTS分类显示，OTS 1为6%，OTS 2为17%，OTS 3为67%，OTS 4为4%，OTS 5为6%。最终视力≤20/40（41%），20/50 - 20/200（20%），20/200 - 1/200（15%），手动/光感（15%），无光感（9%）。治疗后的最终视力与根据OTS类别预测的视力相关（斯皮尔曼相关系数r = 0.53，P < 0.001）。