| The Relationship between Visual Outcome and Ocular Trauma Score after Open Globe Injuries in Children. |
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Su Jin Park, Byeong Jae Son |
1Department of Ophthalmology, School of Medicine, Kyungpook National University, Daegu, Korea. supersbj@daum.net
2Department of Ophthalmology, Kyungpook National University Hospital, Daegu, Korea. |
| 소아청소년 개방안구손상 환자에서의 시력예후와 안외상 점수와의 연관성 |
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박수진1,2⋅손병재1,2 |
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경북대학교 의과대학 안과학교실1, 경북대학교병원 안과2 |
Correspondence:
Byeong Jae Son,
Email: supersbj@daum.net
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Received: 21 June 2018 • Revised: 7 August 2018 • Accepted: 21 October 2018 |
| Abstract |
PURPOSE
We evaluated the prognostic factors of open globe injuries in children and adolescents, and compared the ocular trauma score (OTS) and pediatric penetrating ocular trauma score (POTS). METHODS: We performed a retrospective review of 77 children under 18 years of age who visited our clinic with open globe injuries between May 1993 and April 2014. We investigated the factors that may affect final visual acuity. We also compared the OTS and POTS using receiver operating characteristic curves as a method to predict final visual acuity. RESULTS: By univariate analysis, an initial visual acuity less than 20/200, globe rupture, wound size greater than 7.0 mm, retinal detachment, lens dislocation, and total number of operations contributed to worse visual outcomes (<20/200). Conversely, central corneal involvement, traumatic cataract, wound size less than 7.0 mm, and initial visual acuity greater than 20/200 were better prognostic indicators (≥20/32). Both OTS and POTS had diagnostic value as a predictor of final visual acuity, although there were no statistically significant differences between the two scoring systems. CONCLUSIONS: Initial visual acuity and wound size are important prognostic factors for the final visual acuity in children and adolescent, following open globe injuries. Both OTS and POTS are reliable prognostic models for open globe injuries in children and adolescents. |
| Key Words:
Ocular trauma score;Open globe injury;Pediatric penetrating ocular trauma score |
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