title: Ocular Trauma Score as prognostic value in traumatic ocular injuries due to rotating wire brushes.
abstract: OBJECTIVE
  Rotating wire brushes are used, e.g., for rust removal. Detaching fragments can cause severe eye injuries. The purpose of this study was to investigate mechanism, severity, clinical outcome, validity of Ocular Trauma Score (OTS) and to assess the likelihood of final visual acuity.
  
  
  METHODS
  Twenty patients with traumatic ocular injuries by rotating wire brushes were included. Location and type of injury, grade of injury according to OTS, surgical procedure, and development of visual acuity were evaluated.
  
  
  RESULTS
  Eleven accidents (55%) happened at work, nine at home (45%). Eighteen injuries (90%) were penetrating, one (5%) was perforating. In one case (5%), an intraocular foreign body was present. One case each was classified OTS 1 and 2 (5%), six cases OTS 3 (30%), four cases OTS 4 (20%), and eight cases OTS 5 (40%). None of the patients was wearing safety goggles. Fourteen patients (70%) were surgically treated. Of these, five were treated at the anterior segment only, nine additionally underwent pars-plana vitrectomy. Nine patients received phacoemulsification. Mean best corrected visual acuity was logMAR 1.0 (2/20) at admission and 0.3 (10/20) at last follow-up. Our results were similar to those in the OTS study, except for OTS 1 (p = 0.046). Comparing the categorical distribution of final visual acuity in all OTS categories, no statistically significant difference was found (p = 0.119) between our results and the OTS study group.
  
  
  CONCLUSIONS
  OTS may provide prognostic information in traumatic ocular injuries by rotating wire brushes. The injuries could have been avoided by wearing safety goggles.
authors.affiliation: Department of Ophthalmology, University Medical Center Schleswig-Holstein, Arnold-Heller Strasse 3, Haus 25, Kiel, D-24105, Germany. konstantine.purtskhvanidze@uksh.de.
authors.forename: Konstantine
authors.initials: K
authors.lastname: Purtskhvanidze
authors.affiliation: Department of Ophthalmology, University Medical Center Schleswig-Holstein, Arnold-Heller Strasse 3, Haus 25, Kiel, D-24105, Germany.
authors.forename: Florian
authors.initials: F
authors.lastname: Rüfer
authors.affiliation: Department of Ophthalmology, University Medical Center Schleswig-Holstein, Arnold-Heller Strasse 3, Haus 25, Kiel, D-24105, Germany.
authors.forename: Alexa
authors.initials: A
authors.lastname: Klettner
authors.affiliation: Institute of Medical Informatics and Statistics, University Medical Center Schleswig-Holstein, Kiel, Germany.
authors.forename: Christoph
authors.initials: C
authors.lastname: Borzikowsky
authors.affiliation: Department of Ophthalmology, University Medical Center Schleswig-Holstein, Arnold-Heller Strasse 3, Haus 25, Kiel, D-24105, Germany.
authors.forename: Johann
authors.initials: J
authors.lastname: Roider
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005129:Eye Foreign Bodies / Q000175:diagnosis* / Q000517:prevention & control / Q000601:surgery; D015807:Eye Injuries, Penetrating / Q000175:diagnosis* / Q000517:prevention & control / Q000601:surgery; D005135:Eye Protective Devices; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D013508:Ophthalmologic Surgical Procedures / Q000379:methods; D011379:Prognosis; D012189:Retrospective Studies; D015599:Trauma Severity Indices; D014792:Visual Acuity; D055815:Young Adult
keywords: Foreign body; Ocular Trauma Score; Prevention; Rotating wire brush; Traumatic ocular injuries