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Application of pediatric ocular trauma score in pediatric open globe injuries
Chao Xue1, Li-Chun Yang1, Yi-Chun Kong1,2
1Tianjin Eye Hospital, Tianjin Key Laboratory of Ophthalmology and Visual Science, Tianjin Eye Institute; Clinical College of Ophthalmology, Tianjin Medical University, Tianjin 300020, China.
Insights
The pediatric penetrating ocular trauma score (POTS) shows a strong correlation with final visual acuity in children with open globe injuries. This score can help predict visual outcomes in pediatric eye trauma cases.
Area of Science:
- Ophthalmology
- Pediatric Ophthalmology
- Trauma Surgery
Background:
- Pediatric open globe injuries often result in severe visual impairment.
- Accurate prognostic tools are crucial for managing pediatric ocular trauma.
Purpose of the Study:
- To assess the predictive capability of the pediatric penetrating ocular trauma score (POTS) for visual outcomes in children.
- To identify key factors influencing final visual acuity in pediatric open globe injuries.
Main Methods:
- A retrospective analysis of 90 children (aged 1-15 years) with penetrating ocular trauma.
- Calculation of the POTS for each patient and examination of its correlation with final visual acuity (FVA).
- Statistical analysis to determine the significance of various injury-related factors on FVA.
Main Results:
- A significant correlation was found between POTS and FVA (r=0.414, P=0.000).
- Initial visual acuity, age, injury zone, traumatic cataract, vitreous hemorrhage, retinal detachment, and endophthalmitis were significant predictors of FVA.
- Most injuries occurred in Zone I (78.89%), involving the cornea.
Conclusions:
- The POTS demonstrates reliability as a prognostic tool for visual outcomes in pediatric open globe injuries.
- Pediatric ocular trauma carries significant consequences, underscoring the need for effective predictive scoring systems.
Aim:
To evaluate the predictive value of pediatric penetrating ocular trauma score (POTS) on the visual outcome in children with open globe injury.
Methods:
A retrospective study in 90 children (60 males and 30 females) aged 1-15y (average, 7.48±2.86y) with penetrating ocular trauma was performed. Each patient's POTS was calculated. The effects of POTS on final visual acuity (FVA) were examined. Correlation between factors affecting POTS and the FVA was established.
Results:
All patients presented with single-eye trauma. The follow-up time was 3-21mo (average, 10.23±3.54mo). Among the 90 cases of penetrating wounds, 71 eyes (78.89%) were injured in Zone I (wound involvement limited to the cornea, including the corneoscleral limbus), 17 eyes (18.89%) were injured in Zone II (wound involving the sclera and no more posterior than 5 mm from the corneoscleral limbus), and 2 eyes (2.22%) were injured in Zone III (wound involvement posterior to the anterior 5 mm of the sclera). Analysis of POTS and FVA showed important correlation between them (r=0.414, P=0.000). Initial visual acuity (P=0.00), age (P=0.02), injury location (P=0.002), traumatic cataract (P=0.00), vitreous hemorrhage (P=0.027), retinal detachment (P=0.003), and endophthalmitis (P=0.03) were found to be statistically significant factors for the FVA outcome.
Conclusion:
Ocular trauma presents serious consequences and poor prognosis in children. The POTS may be a reliable prognostic tool in children with open globe injury.
