title: Eye trauma in children and adolescents: Perspectives from a developing country and validation of the ocular trauma score.
abstract: OBJECTIVE
  To investigate the current causes of ocular trauma and to assess the prognostic value of the ocular trauma score (OTS) in children.
  
  
  METHODS
  Prospective observational study of children with ocular trauma in Sao Paulo, Brazil, over 1 year.
  
  
  METHODS
  Initial OTS categories were calculated for each patient and compared with the final visual result.
  
  
  RESULTS
  Ninety-six patients were included; most were male (73%). Mean age was 7.3 years. Closed globe trauma was the most frequent (74%), followed by open-globe trauma (10.4%). Household items were mainly responsible for the trauma. Correlation between the predicted and achieved visual acuity was good (Kendall tau-b = 0.7192).
  
  
  CONCLUSIONS
  Closed globe is the most frequent trauma in children and adolescents, and some injuries could be prevented by safety measures and closer adult supervision. The OTS was shown to have limited value in predicting long-term visual acuity in children and adolescents.
authors.affiliation: Department of Ophthalmology, Irmandade da Santa Casa de Misericordia de Sao Paulo, Santa Casa de Sao Paulo School of Medical Sciences, Rua Doutor Cesário Mota Júnior, 112 Sáo Paulo, SP 01221-020, Brazil.
authors.forename: Martina M
authors.initials: MM
authors.lastname: Oiticica-Barbosa
authors.affiliation: Department of Ophthalmology, Irmandade da Santa Casa de Misericordia de Sao Paulo, Santa Casa de Sao Paulo School of Medical Sciences, Rua Doutor Cesário Mota Júnior, 112 Sáo Paulo, SP 01221-020, Brazil nirokasahara@ig.com.br.
authors.forename: Niro
authors.initials: N
authors.lastname: Kasahara
mesh_terms: D000293:Adolescent; D001938:Brazil / Q000453:epidemiology; D002648:Child; D002675:Child, Preschool; D005131:Eye Injuries / Q000145:classification* / Q000453:epidemiology / Q000209:etiology / Q000628:therapy; D005260:Female; D006801:Humans; D015994:Incidence; D007223:Infant; D015601:Injury Severity Score; D008297:Male; D011237:Predictive Value of Tests; D011379:Prognosis; D011446:Prospective Studies; D015203:Reproducibility of Results; D012959:Socioeconomic Factors; D015599:Trauma Severity Indices; D016896:Treatment Outcome; D014792:Visual Acuity; D014949:Wounds, Nonpenetrating / Q000453:epidemiology / Q000209:etiology / Q000628:therapy; D014950:Wounds, Penetrating / Q000453:epidemiology / Q000209:etiology / Q000628:therapy
keywords: Pediatric; injury; prognosis; trauma