INVESTIGATING THE ROLE OF OCULAR TRAUMA SCORE (OTS) IN PREDICTING VISUAL ACUITY AFTER OCULAR TRAUMA

Thi Minh Thu Bien1, , Hai Yen Tran2
1 Can Tho University of Medicine and Pharmacy
2 Hai Yen Eye Care Center

Main Article Content

Abstract

 Background: The Ocular Trauma Score was developed and published in 2002 by Kuln Ferenc et al. It has been validated as predictive of visual outcome in mechanical ocular trauma. The purpose of this study was to investigate the visual acuity of patients and the reliability of OTS in predicting visual acuity after mechanical ocular trauma. Materials and methods: A prospective, descriptive, case series study performed on the patients with mechanical ocular trauma, who were admitted to Ho Chi Minh city Eye Hospital. The ocular conditions were assessed using OTS based on the best corrected visual acuity (BCVA) and five other related factors (globe rupture, endophthalmitis, perforating injury, retinal detachment, and relative afferent pupillary defect). The patients were divided into five groups of predicted visual acuity (from OTS-1 to OTS-5). The minimum follow-up period was six months after discharging from hospital. Final BCVA was collected and compared to OTS predicted visual acuity. SPSS 20.0 software was using to find out statistical significance. Results: 138 eyes of 137 patients (89.8% male and 10.2% female), were enrolled in the study. The average age was 35.7±11.7 years. After 6-month treatment period, the visual acuity improved significantly (p<0.001). The initial visual acuity was strongly correlated with final visual acuity (Spearman’s r=0.733; p<0.001). The final observed BCVA was compatible (p=0.08) and highly correlated (Spearman’s correlation coefficient r=0.847; p<0.001) with OTS predicted BCVA. Conclusion: The OTS has shown its value and reliability in predicting visual acuity after mechanical ocular trauma.

Article Details

References

1. Brundridge et al. (2019), Open globe trauma in a military hospital: a review of the Ocular Trauma Score to help predict enucleation or evisceration, Graefe’s Archive for Clinical and Experimental Ophthalmology, 257, pp. 1789–1793.
2. Dawood Aghadoost (2014), Ocular Trauma: An Overview, Archives of Trauma Research, 3(2), pp. 1-2.
3. Dilek Yaşa et al (2018), Prognostic value of ocular trauma score for open globe injuries associated with metallic intraocular foreign bodies, BMC Ophthalmology, 18(194), pp. 1-5.
4. Chao Xue, Li-Chun Yang and Yi-Chun Kong (2020), Application of pediatric ocular trauma score in pediatric open globe injuries, Int J Ophthalmol, 13(7), pp. 1097-1101.
5. Kang Feng (2019), Epidemiology of Ocular Trauma, Anatomy and Examination in Ocular Trauma, Springer Nature Singapore, Singapore, pp. 105-122.
6. Konstantine Purtskhvanidze et al. (2017), Ocular Trauma Score as prognostic value in traumatic ocular injuries due to rotating wire brushes, Graefe’s Archive for Clinical and Experimental Ophthalmology, 255(5), pp. 1037–1042. 7. Kuhn Ferenc, et al. (2002), The Ocular Trauma Score (OTS), Ophthalmol Clin North Am, 15 (2), pp. 163-165.
8. Lili Zhu, et al. (2015), Ocular Trauma Score in Siderosis Bulbi with Retained Intraocular Foreign Body, Medicine Journal, 94 (39), pp. 1-4.
9. Mehul Shah, et al. (2012), Ocular Trauma Score: A Useful Predictor of Visual Outcome at Six Weeks in Patients with Traumatic Cataract, Ophthalmology, 119, pp.1336-1341.
10. Mehul A. Shah et al. (2017), Pediatric ocular trauma score as a prognostic tool in the management of pediatric traumatic cataracts, Graefes Arch Clin Exp Ophthalmol, 255(5), pp. 1027-1036.
11. Nagib du Toit, et al. (2015), Visual outcomes in patients with open globe injuries compared to predicted outcomes using the Ocular Trauma Scoring system, International Journal of Ophthalmology, 8 (6), pp. 1229-1233.
12. Qamar ul Islam et al. (2016), Predictive value of ocular trauma score in open globe combat eye injuries, J Ayub Med Coll Abbottabad, 28(3), pp. 484-488.
13. Rahul Dagwar, et al. (2015), Predicting prognostic value of ocular trauma score (OTS) in an open globe injury in tertiary eye care hospital, Journal of Evidence Based Medicine & Healthcare, 2 (42), pp. 7190-7194.
14. Ying Qi, et al. (2015), Characteristics and visual outcomes of patients hospitalized for ocular trauma in central China: 2006-2011, Int J Ophthalmol, 8 (1), pp. 162-168.
15. Ying Qi, et al (2016), Prognostic Factors for Visual Outcome in Traumatic Cataract Patients, Journal of Ophthalmology, 2016, pp. 1-6.