|Year : 2018 | Volume
| Issue : 4 | Page : 275
Expert opinion on ocular trauma score
Orbit and Ophthalmic Plastic and Reconstructive Surgery, National University Hospital, Singapore
|Date of Web Publication||19-Feb-2019|
Dr. Gangadhara Sundar
Department of Orbit and Ophthalmic Plastic and Reconstructive Surgery, National University Hospital, 1 E, Kent Ridge Road
Source of Support: None, Conflict of Interest: None
|How to cite this article:|
Sundar G. Expert opinion on ocular trauma score. TNOA J Ophthalmic Sci Res 2018;56:275
Globe injuries, no matter how trivial, have an immense effect on the affected individual, not only medically but also psychosocially and even economically. The greatest concern of the patient is the likelihood of recovery, possibility of irreparable damage, and consequences for their continued normal personal and professional lives.
The ocular trauma score (OTS) was proposed based on a large series of patients both from the Birmingham Eye Injury Registry and the Hungarian Eye Injury Registry by Kuhn et al. This was a single major advance in the prognostication following both closed and open globe injuries which guided management and also helped counsel the injured patient. Despite this being described decades ago, it is unfortunately not being practiced at all ophthalmic trauma centers. Several studies have shown clear benefit of its use in various situations – open and closed globe injuries, traumatic cataract high impact injuries. Some have even proposed modifications and validated its benefit in pediatric eye injuries.
We encourage all ophthalmologists to routinely incorporate the use of appropriate eye trauma terminology, based on the Birmingham Eye Trauma Terminology, use the OTS, and calculate the visual prognosis, which aids the ophthalmologist and the patient. A routine audit postrepair regarding both globe preservation and visual preservation/restoration is also highly advised. Despite a guarded visual prognosis, all injuries including severe injuries should undergo immediate and meticulous surgical wound closure and early postoperative imaging (ultrasound, computed tomographic scan, etc.) not only to assess the integrity of posterior segment, presence of foreign bodies, etc., but also to rule out associated orbital and orbitofacial injury, which may have both medical and medicolegal consequences.
Financial support and sponsorship
Conflicts of interest
There are no conflicts of interest.
| References|| |
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Kuhn F, Morris R, Witherspoon CD. Birmingham Eye Trauma Terminology (BETT): Terminology and classification of mechanical eye injuries. Ophthalmol Clin North Am 2002;15:139-43, v.
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