A modified pediatric ocular trauma score for predicting visual outcome post open globe injury

Area of Science:

• Ophthalmology
• Pediatric Medicine
• Trauma Surgery

Background:

• Pediatric open globe injuries (OGI) require accurate prognostic tools.
• Existing ocular trauma scores may lack precision in the pediatric population.

Purpose of the Study:

• To develop and validate a novel pediatric ocular trauma score (MPOTS).
• To compare the predictive performance of MPOTS against the Ocular Trauma Score (OTS) and Pediatric Ocular Trauma Score (POTS).

Main Methods:

• Retrospective chart review of pediatric OGI cases.
• Analysis of demographics, injury characteristics, and visual acuity.
• Construction and validation of the MPOTS using a separate cohort.

Main Results:

• Initial visual acuity, injury location, retinal detachment, vitreous hemorrhage, hyphema, and iris prolapse were significant predictors of poor visual outcome.
• MPOTS showed higher correlation with poor visual outcome (Spearman's rho = 0.64) compared to OTS (0.56) and POTS (0.57) in the initial cohort.
• MPOTS (0.53) also outperformed OTS (0.50) and POTS (0.51) in the validation cohort.

Conclusions:

• A new modified pediatric ocular trauma score (MPOTS) is proposed for predicting visual outcomes in pediatric OGI.
• MPOTS offers improved clinical utility and predictive accuracy for this patient group.
• The MPOTS is a simpler and more effective tool for assessing visual prognosis after pediatric open globe injuries.