Pieramici D J, Sternberg P, Aaberg T M, Bridges W Z, Capone A, Cardillo J A, de Juan E, Kuhn F, Meredith T A, Mieler W F, Olsen T W, Rubsamen P, Stout T
Emory Eye Center, Emory University School of Medicine, Atlanta, Georgia 30322, USA.
Am J Ophthalmol. 1997 Jun;123(6):820-31. doi: 10.1016/s0002-9394(14)71132-8.
To develop a classification system for mechanical injuries of the eye.
The Ocular Trauma Classification Group, a committee of 13 ophthalmologists from seven separate institutions, was organized to discuss the standardization of ocular trauma classification. To develop the classification system, the group reviewed trauma classification systems in ophthalmology and general medicine and, in detail, reports on the characteristics and outcomes of eye trauma, then established a classification system based on standard terminology and features of eye injuries at initial examination that have demonstrated prognostic significance.
This system classifies both open-globe and closed-globe injuries according to four separate variables: type of injury, based on the mechanism of injury; grade of injury, defined by visual acuity in the injured eye at initial examination; pupil, defined as the presence or absence of a relative afferent pupillary defect in the injured eye; and zone of injury, based on the anteroposterior extent of the injury. This system is designed to be used by ophthalmologists and nonophthalmologists who care for patients or conduct research on ocular injuries. An ocular injury is classified during the initial examination or at the time of the primary surgical intervention and does not require extraordinary testing.
This classification system will categorize ocular injuries at the time of initial examination. It is designed to promote the use of standard terminology and assessment, with applications to clinical management and research stud ies regarding eye injuries.
建立眼部机械性损伤的分类系统。
组织了由来自七个不同机构的13位眼科医生组成的眼外伤分类小组委员会，以讨论眼外伤分类的标准化问题。为了建立该分类系统，该小组回顾了眼科和普通医学中的创伤分类系统，并详细研究了眼外伤的特征和结果报告，然后根据初始检查时具有预后意义的眼损伤的标准术语和特征建立了一个分类系统。
该系统根据四个不同变量对开放性眼球损伤和闭合性眼球损伤进行分类：损伤类型，基于损伤机制；损伤等级，由初始检查时患眼的视力定义；瞳孔，定义为患眼是否存在相对传入性瞳孔缺陷；损伤区域，基于损伤的前后范围。该系统旨在供照顾眼部受伤患者或进行眼部损伤研究的眼科医生和非眼科医生使用。眼外伤在初始检查时或初次手术干预时进行分类，无需特殊检查。
该分类系统将在初始检查时对眼外伤进行分类。它旨在促进标准术语和评估的使用，应用于眼外伤的临床管理和研究。
