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

Cohen, Eyal; Antman, Gal; Katzburg, Etti; Cohen, Neta; Varssano, David; Glatz, Marlene; Dotan, Gad

doi:10.1007/s00417-022-05723-5

Cited by 4 publications

(11 citation statements)

References 20 publications

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“…Some studies suggest that OGI is more common in children younger than 7 years, while others indicate a higher prevalence in the age group of 7-12 years. [ 7 - 10 ] In the study by Cohen et al, age was excluded from MPOTS staging because it was not predictive,[ 6 ] aligning with our findings. While the literature shows that ocular trauma in the pediatric age group is more common in males, there are also studies suggesting no gender difference, especially in the preschool age group.…”

Section: Discussionsupporting

confidence: 85%

“…Collected data included patient demographics, type of injury, time from injury to surgery, complete ophthalmological examination results, initial and final visual acuity, and anterior segment and fundus findings (such as hyphema, iris prolapse, traumatic cataract, vitreous hemorrhage, etc.). Patients were scored using the MPOTS as described by Cohen et al[ 6 ] This scoring system considers initial visual acuity, wound location, and the presence of concomitant ocular pathologies ( Table 1 ). In cases where visual acuity could not be determined in children, MPOTS was calculated as follows: double the points for the injury location, minus points for the corresponding pathologies.…”

Section: Methodsmentioning

confidence: 99%

“…[ 5 , 7 - 10 ] Building on previous research, Cohen et al formulated a new Modified Pediatric Ocular Trauma Scoring (MPOTS) system by omitting parameters that do not affect prognosis in pediatric age groups. [ 6 ] They concluded that this new method is easier to use and more effective.…”

Section: Introductionmentioning

confidence: 99%

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Evaluating the effectiveness of inflammatory markers in pediatric open globe injury using a modified pediatric ocular trauma score

Özcanlı Çay

2024

Ulus Travma Acil Cerrahi Derg

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BACKGROUND: This study aims to assess pediatric patients with Open Globe Injury (OGI) using the Modified Pediatric Ocular Trauma Score (MPOTS) and to investigate the correlation between Neutrophil-to-Lymphocyte ratio (NLR) and Platelet-to-Lymphocyte ratio (PLR) parameters with the prognosis determined by MPOTS. METHODS: In this retrospective study, we included pediatric patients with OGI. Recorded data encompassed demographic details, injury type, duration from injury to surgery, complete ophthalmological examinations, initial and final visual acuities, anterior segment and fundus findings, and NLR and PLR values. Patients were categorized into three groups based on their MPOTS scores: Grade I (≤30 points), indicating high risk; Grade II (35-65 points), moderate risk; and Grade III (≥70 points), low risk. Differences between categories were statistically evaluated. RESULTS: The study comprised 22 patients. In Category I, the duration from injury to surgery was longer (p=0.018). The most common injury type in this category was globe rupture, occurring in four (50%) patients, with a significant difference noted between the groups (p=0.041). Category I exhibited lower final visual acuity and higher NLR and PLR values compared to the other categories (p<0.050 for all values). Both NLR and PLR demonstrated significant negative correlations with MPOTS (respectively, r=-0.869, p<0.001; r=-0.809, p<0.001). CONCLUSION: The Modified Pediatric Ocular Trauma Score is an effective and practical method for assessing the prognosis of pediatric patients with Open Globe Injury (OGI). Furthermore, there is evidence indicating a negative correlation between MPOTS and the increase in NLR and PLR values that often follows OGI in this patient population.

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Section: Discussionsupporting

confidence: 85%

Section: Methodsmentioning

confidence: 99%

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Evaluating the effectiveness of inflammatory markers in pediatric open globe injury using a modified pediatric ocular trauma score

Özcanlı Çay

2024

Ulus Travma Acil Cerrahi Derg

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“…In our study, we found a significantly higher rate of ocular injury in boys than in girls, similar to other studies. 8,[17][18][19][20][21] This significant difference was similar to the gender difference in adults. 22 This result shows that boys are more open to traumas than girls because they are more active, more free, adventurous and curious.…”

Section: Discussionsupporting

confidence: 64%

“…In terms of injury site, zone 1 injury was the most common with a high rate in our study (87 %)., as in many other studies in the literature. 12,19,21 When the literature is scanned, many factors that determine the prognosis of penetrating eye injuries have been identified. Visual acuity, [22][23][24][25][26][27] which is the most important among them, followed by wound site and size, [23][24][25]29 presence of relative afferent pupillary defect (RAPD), [23][24][25] mechanism of injury, [23][24][25][26] intraocular hemorrhage, lens damage, 23,24 retinal detachment, 25,30 presence of intraocular foreign body and endophthalmitis 26,27,31 .…”

Section: Discussionmentioning

confidence: 99%

Pediatrik Hastalarda Oküler Travmaların Etiyolojik Özellikleri ve Görsel Sonuçları

Pirhan

Subaşı

Kucuk³

2022

Kocaeli Üniversitesi Sağlık Bilimleri Dergisi

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Amaç: Açık glob yaralanması (AGY) nedeni ile acil kliniğimize başvuran, tedavi ve takibi yapılan 60 pediatrik olgunun demografik özelliklerini ve prognozu etkileyen faktörleri araştırmak. Yöntem: Kliniğimizde 2010-2021 yılları arasında AGY nedeni ile ameliyat edilip, en az bir yıl takip yapılmış olan 16 yaş ve altı 69 olgunun dosya kayıtları retrospektif olarak incelendi. Kayıtlardan AGY’nin tipi, oluş nedeni, eşlik eden muayene bulguları, hastaneye başvuru zamanı ile ilk ve son görme keskinlikleri (GK), ek cerrahileri kaydedildi. Bulgular: Olguların ortalama yaşı 11±5 yıl idi. %17,4’si kız %82,6’sı erkek idi. AGY’nin şekli en sık korneal kesi, en sık etiyolojik nedeni kesici ve delici aletler (%65,1) oluşturmakta idi. Olguların %87 sinde sadece bölge 1, %40,6 sında bölge 2, %13 ünde bölge 3 etkilenmişti. Olguların %37,7 sinde relatif afferent pupil defekti (RAPD) vardı. %5,8’i rüptür, %8,7’si retina dekolmanı, %2,9’u endoftalmi, %4,3’ü perforan yaralanma idi. Olguların başvuru anında %7’sinde GK değerlendirilemezken, %60’ında 0.1 ve daha altında, %25,7’sinde 0.1-0,6. %4,3’ünde ise 0.6’dan daha iyi GK’ya sahipti. Olguların takiplerinde 6. ayda ise %2,9’ unda GK değerlendirilemezken (inop), %11,4’ ünde 0.1 ve daha altında, %25,7’sinde 0.1-0.6 ve %60’ında ise 0.6’dan daha iyi GK’ya sahipti. Oküler travma skoru (OTS) 74±16, pediatrik oküler travma skoru (POTS) 64±19 idi. OTS başlangıçtaki GK ile orta derecede ilişkili (r=0,687, p<0,001), takipteki GK ile orta derecede ilişkili (r=0,611, p<0,001) idi. Pediatrik oküler travma skorunun korelasyon değerleri ise daha düşük bulundu (başlangıç GK ile r=0,574, p<0,001). Sonuç: Pediatrik AGY’de görsel prognozu tahmin edebilmek için RAPD değerlendirilemediğinde bile OTS güvenilir bir araçtır.

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The relationship between computed tomography findings and ocular trauma and pediatric ocular trauma scores in pediatric globe injuries: Does imaging have prognostic and diagnostic value?

Pirhan

2023

Ulus Travma Acil Cerrahi Derg

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BACKGROUND: The aim of this study is to assess the relationship between computed tomography (CT) findings in open globe injuries (OGIs) in pediatric patients and the pediatric ocular trauma score (POTS) and OTS in pediatric ocular trauma. METHODS: In 34 pediatric patients with OGI, CT findings were categorized into nine main categories: Scleral irregularity, lens dislocation, abnormal vitreous density, choroid-retinal layer thickening, preseptal thickness increase, intraocular foreign body and air, vitreous hemorrhage, retinal detachment, and perforation. The relationship between different types and numbers of CT findings and the POTS and OTS was evaluated. RESULTS: The mean age of trauma was 6.6±3.1. Of the patients, 9 (26.5%) were female and 25 (73.5%) were male. The most common CT findings are scleral irregularity and increased preseptal thickness (47.1%). In univariate analysis, a P<0.05 was found between 16 patients with 1 or less CT findings (median POTS value 80 [71.25–90.0]) and 11 patients with 2 or 3 CT findings (median POTS value 60 [15–70]). A P<0.05 was found between 16 patients with 1 or less CT findings (median POTS value 80 [71.25–90.0]) and 7 patients with 4 or more CT findings (median POTS value 45 [25–80]). A P > 0.05 was found between 11 patients with 2 or 3 CT findings (median POTS value 60 [15–70]) and 7 patients with 4 or more CT findings (median POTS value 45 [25–80]). No significant difference was found between the number of CT findings and OTS stages. While POTS was significant (P<0.05) in patients with abnormal vitreous density (median 45 [30–69.6]), OTS value was not significant (P>0.05). There was no significant difference between POTS and OTS in other CT findings. CONCLUSION: The number of CT findings may assist in predicting POTS and, consequently, estimating visual prognosis in pediatric patients with OGI. In emergency situations where, sufficient clinical data are unavailable, the objective findings from CT may help in assessing the severity of ocular trauma and potentially predicting long-term visual outcomes.

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

Cited by 4 publications

References 20 publications

Evaluating the effectiveness of inflammatory markers in pediatric open globe injury using a modified pediatric ocular trauma score

Evaluating the effectiveness of inflammatory markers in pediatric open globe injury using a modified pediatric ocular trauma score

Pediatrik Hastalarda Oküler Travmaların Etiyolojik Özellikleri ve Görsel Sonuçları

The relationship between computed tomography findings and ocular trauma and pediatric ocular trauma scores in pediatric globe injuries: Does imaging have prognostic and diagnostic value?

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