September 2016
Volume 57, Issue 12
Open Access
ARVO Annual Meeting Abstract  |   September 2016
Comparative evaluation of the prognostic value between the Ocular Trauma Score and the Pediatric Penetrating Ocular Trauma Score.
Author Affiliations & Notes
  • Niro Kasahara
    Department of Ophthalmology, Santa Casa de Sao Paulo Sch of Med Sci, Sao Paulo, Brazil
  • Adriana M Morgan
    Department of Ophthalmology, Santa Casa de Sao Paulo Sch of Med Sci, Sao Paulo, Brazil
  • Footnotes
    Commercial Relationships   Niro Kasahara, None; Adriana Morgan, None
  • Footnotes
    Support  None
Investigative Ophthalmology & Visual Science September 2016, Vol.57, 6392. doi:
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      Niro Kasahara, Adriana M Morgan; Comparative evaluation of the prognostic value between the Ocular Trauma Score and the Pediatric Penetrating Ocular Trauma Score.. Invest. Ophthalmol. Vis. Sci. 2016;57(12):6392.

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      © ARVO (1962-2015); The Authors (2016-present)

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Abstract

Purpose : Controversy exists about the utility of the Ocular Trauma Score (OTS) in children. A new score has been developed specifically for children - the Pediatric Penetrating Ocular Trauma Score (POTS) – which proved to be of prognostic value in young patients with penetrating eye injuries. Since its development, the POTS has not been assessed in other populations. Hence, the purpose of the study was to compare the prognostic value of OTS and POTS in children with open-globe injuries.

Methods : This retrospective, interventional case series included 32 children with open-globe injuries. Mean age was 7.3 ± 3.5 years; 24 were male and 9 female. All patients were reviewed on the basis of time and circumstance of injury, time of surgery, type of penetrating injury, initial and final visual acuity (VA), and concomitant eye disease. Both OTS and POTS categories were calculated based on specific variables. The final achieved VA was compared with the predicted VA for both scores with Kendall's test for significant association; the agreement among achieved VA and the predicted VA for both OTS and POTS was accessed with the Cohen kappa coefficient.

Results : The association between OTS and achieved VA was good (Kendall Tau-b = 0.587, P = 0.001). However, we found no association between POTS and achieved VA (Kendall Tau-b = 0.268, P = 0.1106). The agreement among achieved VA and the predicted VA for both OTS and POTS was low (kappa = 0.1942).

Conclusions : In this small cohort of children with open-globe injuries, the OTS provided more accurate prognostic information than the POTS.

This is an abstract that was submitted for the 2016 ARVO Annual Meeting, held in Seattle, Wash., May 1-5, 2016.

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