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 Table of Contents  
CLINICAL PRACTICE GUIDELINES
Year : 2018  |  Volume : 56  |  Issue : 4  |  Page : 273-274

Postgraduate's corner: Ocular trauma score


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 Publication19-Feb-2019

Correspondence Address:
Dr. Akruti Desai
Ophthalmic Plastic Surgery Services, L.V. Prasad Eye Institute, GMRV Campus, Visakhapatnam - 530 040, Andhra Pradesh
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/tjosr.tjosr_5_19

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How to cite this article:
Desai A, Panchal B. Postgraduate's corner: Ocular trauma score. TNOA J Ophthalmic Sci Res 2018;56:273-4

How to cite this URL:
Desai A, Panchal B. Postgraduate's corner: Ocular trauma score. TNOA J Ophthalmic Sci Res [serial online] 2018 [cited 2019 Mar 22];56:273-4. Available from: http://www.tnoajosr.com/text.asp?2018/56/4/273/252491




  Ocular Trauma Score Top


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.[1] 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 Top


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 2: Ocular trauma score

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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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Table 1: Ophthalmic examination

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  What is the Ocular Trauma Score in This Case? Top


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

Nil.

Conflicts of interest

There are no conflicts of interest.



 
  References Top

1.
Kuhn F, Morris R, Witherspoon CD, Heimann K, Jeffers JB, Treister G. Astandardized classification of ocular trauma. Ophthalmology 1996;103:240-3.  Back to cited text no. 1
    


    Figures

  [Figure 1], [Figure 2], [Figure 3]
 
 
    Tables

  [Table 1]



 

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