July 2019
Volume 60, Issue 9
Open Access
ARVO Annual Meeting Abstract  |   July 2019
Comparative analysis of the prognostic value between the Pediatric Ocular Trauma Score and the Toddler/Infant Ocular Trauma Score in Brazilian children.
Author Affiliations & Notes
  • Gilvan Vilarinho da Silva-Filho
    Oftalmologia, Irmandade da Santa Casa de Misericordia de Sao Paulo, Sao Paulo, Sao Paulo, Brazil
  • Adriana Moreno Morgan
    Oftalmologia, Irmandade da Santa Casa de Misericordia de Sao Paulo, Sao Paulo, Sao Paulo, Brazil
  • Niro Kasahara
    Oftalmologia, Irmandade da Santa Casa de Misericordia de Sao Paulo, Sao Paulo, Sao Paulo, Brazil
  • Footnotes
    Commercial Relationships   Gilvan Vilarinho da Silva-Filho, None; Adriana Moreno Morgan, None; Niro Kasahara, None
  • Footnotes
    Support  None
Investigative Ophthalmology & Visual Science July 2019, Vol.60, 6565. doi:https://doi.org/
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      Gilvan Vilarinho da Silva-Filho, Adriana Moreno Morgan, Niro Kasahara; Comparative analysis of the prognostic value between the Pediatric Ocular Trauma Score and the Toddler/Infant Ocular Trauma Score in Brazilian children.. Invest. Ophthalmol. Vis. Sci. 2019;60(9):6565. doi: https://doi.org/.

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

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Abstract

Purpose : Controversy exists about the utility of the scores for trauma in children. The Pediatric Ocular Trauma Score (OTS) and the Toddler/Infant Ocular Trauma Score (TOTS) – developed specifically for children under 6 years of age with traumatic open globe injuries – proved to be of prognostic value in young patients. The purpose of the study was to compare the prognostic value between POTS and TOTS in children with open-globe injuries in a cohort of Brazilian children.

Methods : This retrospective, interventional case series included 28 children with open-globe injuries seen at the Santa Casa de Sao Paulo Emergency Service. Mean age was 3.9 ± 1.6 years; 19 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 POTS and TOTS categories were calculated based on specific variables. The final achieved VA was compared with the predicted VA for both scores with the Fischer’s exact test for significant association for 20 patients; sensitivity and specificity were calculated for each score.

Results : There was no association between the predictive POTS VA and achieved VA (P= 0.442), as well as between the predictive TOTS VA and achieved VA (P= 0.129). Sensitivity and specificity for POTS were 92.8% (95% CI, 66.1% to 99.8%) and 16.6% (95% CI, 0.42% to 64.1%), respectively and for TOTS were 64.3% (95% CI, 35.1% to 87.2%) and 0% (95% CI, 0.0% to 45.9%), respectively.

Conclusions : In this small cohort of Brazilian children with open-globe injuries the POTS was more sensitive than TOTS in predicting VA after treatment in toddlers with open globe trauma.

This abstract was presented at the 2019 ARVO Annual Meeting, held in Vancouver, Canada, April 28 - May 2, 2019.

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