Ocular trauma score in deadly weapon-related open-globe injuries.
OBJECTIVE
To assess prognostic value of the ocular trauma score (OTS) in deadly weapon-related open-globe injuries.


METHODS
Retrospective, interventional case series.


METHODS
In 82 patients (88 eyes) with deadly weapon-related 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
The likelihood of the final visual acuities (no light perception NLP, light perception LP/hand motion HM, 1/200 to 19/200, 20/200 to 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 except for LP/HM in the category-2 (53% vs 26%, P < .001). No study eye was in the category-5 (the best prognosis).


CONCLUSIONS
OTS calculated at initial examination may provide prognostic information in deadly weapon-related open-globe injuries.
GATA, Gülhane Military Medical Academy and Medical School, Ankara, Turkey. gsobaci@gata.edu.tr
Güngör
G
Sobaci
Tŭgrul
T
Akin
Uzeyir
U
Erdem
Yusuf
Y
Uysal
Suat
S
Karagül
D000293:Adolescent; D000328:Adult; D001753:Blast Injuries / Q000175:diagnosis* / Q000503:physiopathology; D002648:Child; D015807:Eye Injuries, Penetrating / Q000175:diagnosis* / Q000503:physiopathology; D006801:Humans; D015601:Injury Severity Score; D008875:Middle Aged; D008887:Military Medicine; D011379:Prognosis; D012189:Retrospective Studies; D014792:Visual Acuity / Q000502:physiology; D014948:Wounds, Gunshot / Q000175:diagnosis* / Q000503:physiopathology