Ocular Trauma Score: A Useful Predictor of Visual Outcome at Six Weeks in Patients with Traumatic Cataract

Shah, Mehul; Shah, Shreya; Applewar, Adway; Patel, Chintan; Shah, Shashank; Patel, Utsav

doi:10.1016/j.ophtha.2012.01.020

Cited by 34 publications

(23 citation statements)

References 27 publications

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“…(9) Other researchers were found to have not evaluated analogous variables in their studies. (6)(7)(8)(11)(12)(13)17,20) In some studies, a final visual acuity of 6/12 and better has been reported in 50%-80% of patients, (6,7,9,11,15,20) in contrast to 34.48% in our cohort. Our findings are similar to Kumar et al's study conducted in Nepalese children with traumatic cataract, which reported only 21.1% of patients with a final visual acuity of 6/12 and better.…”

Section: Discussionmentioning

confidence: 48%

“…Our findings are similar to Kumar et al's study conducted in Nepalese children with traumatic cataract, which reported only 21.1% of patients with a final visual acuity of 6/12 and better. (17) In some studies, (6,7,9,11,15,20) amblyopia has been reported as a major cause of poor outcome in the study population.…”

Section: Discussionmentioning

confidence: 93%

“…Numerous studies on traumatic paediatric cataract have been published from Asian countries such as India, (4)(5)(6)(7)(8)(9)(10)(11)(12)(13)(14) Pakistan, (15,16) Nepal (17)(18)(19) and Korea. (20) However, a PubMed database search of published literature on traumatic paediatric cataracts from developing countries in the Southeast Asian region revealed that no such data is available.…”

Section: Introductionmentioning

confidence: 99%

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Clinical profile and visual outcome of traumatic paediatric cataract in suburban Malaysia: a ten-year experience

Adlina¹,

Chong²,

Shatriah

2014

smedj

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METHODSWe conducted a retrospective study of 29 children below 17 years of age who were diagnosed with traumatic paediatric cataract and who attended Hospital Universiti Sains Malaysia, Kelantan, Malaysia, between January 2000 and December 2010. Follow-up periods ranged from 12 to 120 months. Demographic data, clinical features, mechanism and extent of injury, and final visual outcome were recorded. RESULTSThe study population was predominantly male. The right eye was injured in 62.07% of patients. A majority of patients had penetrating injuries, with the most common cause being injury by an organic foreign body (24.14%). Presenting visual acuity worse than 6/60 was observed in 68.97% of patients. Only 34.48% of patients had a final corrected visual acuity of 6/12 and better. 55.18% of patients were operated on within less than one month of their injuries. A majority of children sustained concurrent injuries to the anterior segment structures. Corneal opacity and amblyopia were the most common causes of poor final visual acuity.CONCLUSION Health education and awareness are essential tools that can prevent avoidable blindness due to traumatic cataract in the paediatric population. The importance of rehabilitation programmes for these patients should be emphasised.

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Section: Discussionmentioning

confidence: 48%

Section: Discussionmentioning

confidence: 93%

Section: Introductionmentioning

confidence: 99%

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Clinical profile and visual outcome of traumatic paediatric cataract in suburban Malaysia: a ten-year experience

Adlina¹,

Chong²,

Shatriah

2014

smedj

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“…Shah et al [5,6] conducted a study where they found a visual prognosis 6 weeks after surgery to be more favorable in patients with openglobe trauma than in patients with closed-globe trauma and demonstrated that the ocular trauma score is a good predictor for visual acuity in patients with traumatic cataract. This differs from a study by Blum where the group with penetrating ocular trauma had more cases of aphakia than patients with blunt trauma, although in both groups of patients who had successfully implanted an IOL, the final best-corrected visual acuity was similar despite the corneal scar [7].…”

Section: Discussionmentioning

confidence: 99%

Management of traumatic cataract in adults at a reference center in Mexico City

Serna‐Ojeda¹,

Córdova-Cervantes²,

Lopez-Salas³

et al. 2014

Int Ophthalmol

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The purpose of the study was to determine the clinical presentation, mode of injury, surgical, and postoperative outcomes in adult patients with traumatic cataract. This is a clinical, observational, and retrospective study with review of records of patients in the period 2010-2012. Eighty patients were included, of whom 67 (83.75 %) were male. The mean age at presentation was 46 years (range 18-82 years). Sixty-four patients (80 %) had a closed-globe blunt ocular trauma and 16 (20 %) had an open-globe penetrating trauma. Seventy-seven (96.25 %) patients underwent phacoemulsification; 13.7 % (n = 11) required placement of capsular tension rings and 22.5 % (n = 18) automated anterior vitrectomy. In 53 % of the cases the intraocular lens (IOL) was placed in the capsular bag. Forty-seven patients (58.75 %) achieved a best-corrected visual acuity of 20/40 or better. In 57 (71.25 %) the final refraction was obtained, with a mean spherical equivalent of -0.56D (range -3.50D to +2.00 D). The improvement in visual acuity was significantly higher when the IOL was placed in the capsular bag compared to when it was placed in the sulcus (average difference of 0.667, p = 0.001). The most common mechanism of trauma is closed globe. Phacoemulsification was the procedure most common performed, with the IOL placed most commonly in the capsular bag. The final best-corrected visual acuity in most patients was 20/40 or better. Placing the IOL in the capsular bag represented an improvement in visual acuity compared to placement in the sulcus.

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“…And recently some researchers have reported that the OTS can indicate the final vision for traumatic cataract patients [11, 12]. Has OTS also been effective for traumatic cataract cases in Central China?…”

Section: Introductionmentioning

confidence: 99%

Prognostic Factors for Visual Outcome in Traumatic Cataract Patients

Ying

Zhang

Zhu

et al. 2016

Journal of Ophthalmology

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Purpose. To investigate the prognostic factors for visual outcome in traumatic cataract patients. Methods. The demographic features of traumatic cataract patients in Central China were studied. The factors that might influence the visual outcome were analyzed. The sensitivity and specificity of OTS (ocular trauma score) in predicting VA were calculated. Results. The study enrolled 480 cases. 65.5% of patients achieved VA at >20/60. The factors associated with the final VA were initial VA, injury type, wound location, the way of cataract removal, and IOL implantation. The sensitivities of OTS in predicting the VA at NLP (nonlight perception), LP/HM (light perception/hand motion), and ≥20/40 were 100%. The specificity of OTS to predict the final VA at 1/200-19/200 and 20/200-20/50 was 100%. Conclusion. The prognostic factors were initial VA, injury type, wound location, cataract removal procedure, and the way of IOL implantation. The OTS has good sensitivity and specificity in predicting visual outcome in traumatic cataract patients in long follow-up.

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Ocular Trauma Score: A Useful Predictor of Visual Outcome at Six Weeks in Patients with Traumatic Cataract

Cited by 34 publications

References 27 publications

Clinical profile and visual outcome of traumatic paediatric cataract in suburban Malaysia: a ten-year experience

Clinical profile and visual outcome of traumatic paediatric cataract in suburban Malaysia: a ten-year experience

Management of traumatic cataract in adults at a reference center in Mexico City

Prognostic Factors for Visual Outcome in Traumatic Cataract Patients

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