PREDICTING PROGNOSTIC VALUE OF OCULAR TRAUMA SCORE (OTS) IN AN OPEN GLOBE INJURY IN TERTIARY EYE CARE HOSPITAL

Abstract

Rahul Dagwar1, Nilesh Gaddewar2, Ashok Madan3

To evaluate the prognostic value of OTS in open globe injuries. MATERIAL METHOD: Retrospective analysis of 77 eyes with open globe injuries was done from 01/07/2013 to 31/12/2014. Patients were assigned raw score sum based on initial V/A, and ocular findings then classified into 5 categories for predicting final visual outcome based on ocular Trauma score (OTS). RESULT: We estimated final V/A in 77 cases of open globe injuries (64.93%) had raw score between 65.91 (category 3, 4) Six months after the injury, 42.85% patients of categories 1 (raw score 0-44) achieved V/A of PL/HM as compared to 17% in OTS study. 16 patients with raw compared to OTS study. We reported comparable visual outcome with OTS study except in category 1 & 2. CONCLUSION: OTS score is valuable in triage, patient counseling and decision making for the management of ocular trauma. We recommend that OTS should be used routinely for open globe injuries as it is a simple guide.

image