Ocular Trauma Score in childhood open-globe injuries

J Trauma. 2008 Dec;65(6):1284-6. doi: 10.1097/TA.0b013e31817de3cc.


Background: To assess prognostic value of the Ocular Trauma Score (OTS) in childhood open-globe injuries.

Methods: This retrospective, interventional case series included 61 children with open-globe injuries. Certain numerical values rendered to the OTS variables (visual acuity, rupture, endophthalmitis, perforating injury, retinal detachment, afferent pupillary defect) at presentation were summated and converted into OTS categories; the likelihood of the final visual acuities in the OTS categories were calculated, and compared with those in the OTS Study.

Results: Age ranged from 3 years to 14 years (mean, 8.0 years). Forty-two boys and 19 girls were included. Follow-up ranged from 6 months to 56 months (mean, 18 months). The likelihood of the final visual acuities (no light perception, light perception/hand motion, 1/200-19/200, 20/200-20/50, and > or = 20/40) in the OTS categories (1 through 5) in this group were similar to those in the OTS Study group.

Conclusions: OTS calculated at initial examination may provide prognostic information in children with open-globe injuries.

MeSH terms

  • Adolescent
  • Blast Injuries / classification
  • Blast Injuries / surgery
  • Blindness / etiology
  • Child
  • Child, Preschool
  • Endophthalmitis / classification
  • Endophthalmitis / surgery
  • Eye Injuries, Penetrating / classification*
  • Eye Injuries, Penetrating / surgery
  • Female
  • Follow-Up Studies
  • Humans
  • Male
  • Postoperative Complications / etiology
  • Prognosis
  • Pupil Disorders / classification
  • Pupil Disorders / surgery
  • Retinal Detachment / classification
  • Retinal Detachment / surgery
  • Rupture
  • Terrorism
  • Trauma Severity Indices*
  • Visual Acuity