|CLINICAL PRACTICE GUIDELINES
|Year : 2018 | Volume
| Issue : 4 | Page : 273-274
Postgraduate's corner: Ocular trauma score
Akruti Desai1, Bhavik Panchal2
1 Department of Ophthalmic Plastic Surgery, Ophthalmic Plastic Surgery Services, L.V. Prasad Eye Institute, Visakhapatnam, Andhra Pradesh, India
2 Department of Retina and Uvea, Retina and Uvea Services, L.V. Prasad Eye Institute, Visakhapatnam, Andhra Pradesh, India
|Date of Web Publication||19-Feb-2019|
Dr. Akruti Desai
Ophthalmic Plastic Surgery Services, L.V. Prasad Eye Institute, GMRV Campus, Visakhapatnam - 530 040, Andhra Pradesh
Source of Support: None, Conflict of Interest: None
|How to cite this article:|
Desai A, Panchal B. Postgraduate's corner: Ocular trauma score. TNOA J Ophthalmic Sci Res 2018;56:273-4
| Ocular Trauma Score|| |
The chief concern of all patients with ocular trauma is visual prognosis. The ocular trauma score (OTS) has been developed to address this issue. This score is used to calculate prognosis assuming that the trauma has been managed optimally. It is based on the Birmingham Eye Trauma Terminology System. The OTS ranges from 1 (most severe injury and worst prognosis at 6 months follow-up) to 5 (least severe injury and least poor prognosis at 6 months).
| Case|| |
A 43-year-old gentleman presented with sudden-onset painful loss of vision in the right eye following a fall over a blunt object [Figure 1], [Figure 2], [Figure 3] and [Table 1]. Systemic history and evaluation were within normal limits.
|Figure 1: Pre operative photograph showing corneo scleral tear with uveal tissue prolapse (Panel a), Post operative photograph showing sutured wound (Panel b), Post operative gross photograph (Panel c)|
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|Figure 3: Conversion of raw score points into ocular trauma score category and calculating the likelihood of final visual acuity in five categories|
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| What is the Ocular Trauma Score in This Case?|| |
No perception of light: 60
Globe rupture: −23
Raw sum score: 60 − 23 = 37
OTS: 1 (worst prognosis at 6 months follow-up).
The OTS is accurate in four out of five times; hence, it should be used as a guideline to make informed treatment decisions.
Declaration of the patient consent
The authors certify that they have obtained all appropriate patient consent forms. In the form, the patient has given consent for the images and other clinical information to be reported in the journal. The patient understands that names and initials will not be published and due efforts will be made to conceal identity, but anonymity cannot be guaranteed.
Financial support and sponsorship
Conflicts of interest
There are no conflicts of interest.
| References|| |
Kuhn F, Morris R, Witherspoon CD, Heimann K, Jeffers JB, Treister G. Astandardized classification of ocular trauma. Ophthalmology 1996;103:240-3.
[Figure 1], [Figure 2], [Figure 3]