Pediatric ocular trauma score as a prognostic tool in the management of pediatric traumatic cataracts

被引:17
|
作者
Shah, Mehul A. [1 ]
Agrawal, Rupesh [2 ]
Teoh, Ryan [3 ]
Shah, Shreya M. [1 ]
Patel, Kashyap [1 ]
Gupta, Satyam [1 ]
Gosai, Siddharth [1 ]
机构
[1] Nr GIDC, Drashti Netralaya, Chakalia Rd, Dahod 389151, Gujarat, India
[2] Tan Tock Seng Hosp, Natl Healthcare Grp Eye Inst, Tan Tock Seng, Singapore
[3] Natl Univ Singapore, Yong Loo Lin Sch Med, Singapore, Singapore
关键词
Ocular trauma score; BETTS; Pediatric ocular trauma score; Predictive model; Visual outcome; INTRAOCULAR-LENS IMPLANTATION; PENETRATING EYE INJURIES; GLOBE INJURIES; CHILDREN; SURGERY; COMPLICATIONS; INDIA;
D O I
10.1007/s00417-017-3616-y
中图分类号
R77 [眼科学];
学科分类号
100212 ;
摘要
Objective To introduce and validate the pediatric ocular trauma score (POTS) - a mathematical model to predict visual outcome trauma in children with traumatic cataract Methods In this retrospective cohort study, medical records of consecutive children with traumatic cataracts aged 18 and below were retrieved and analysed. Data collected included age, gender, visual acuity, anterior segment and posterior segment findings, nature of surgery, treatment for amblyopia, follow-up, and final outcome was recorded on a precoded data information sheet. POTS was derived based on the ocular trauma score (OTS), adjusting for age of patient and location of the injury. Visual outcome was predicted using the OTS and the POTS and using receiver operating characteristic (ROC) curves. Results POTS predicted outcomes were more accurate compared to that of OTS (p = 0.014). Conclusion POTS is a more sensitive and specific score with more accurate predicted outcomes compared to OTS, and is a viable tool to predict visual outcomes of pediatric ocular trauma with traumatic cataract.
引用
收藏
页码:1027 / 1036
页数:10
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