Acar et al developed an ocular trauma score for pediatric patients with a penetrating injury to the eye. The authors are from Ankara Diskapi Yildirim Beyazit Training and Research Hospital, Suleyman Demirel University and the Ankara Training and Research Hospital in Turkey.
Patient selection: pediatric patient <= 15 years of age with penetrating eye injury
Parameters:
(1) age of the patient in years
(2) initial visual acuity
(3) wound location
(4) concomitant eye pathologies
|
Parameter |
Finding |
Points |
|---|---|---|
|
age of the patient in years |
<= 5 years of age |
10 |
|
|
6 to 10 years of age |
15 |
|
|
11 to 15 years of age |
25 |
|
initial visual acuity |
60 to 100% |
50 |
|
|
10 to 50% |
40 |
|
|
able to count fingers |
30 |
|
|
hand motion or light perception |
20 |
|
|
no light perception |
10 |
|
wound location |
Zone I (cornea and limbus) |
25 |
|
|
Zone II (5 mm posterior to limbus) |
15 |
|
|
Zone III (posterior to zone II, including the macula and optic nerve) |
10 |
|
Concomitant Pathology |
Finding |
Points |
|---|---|---|
|
iris prolapse |
absent |
0 |
|
|
present |
-5 |
|
hyphema |
absent |
0 |
|
|
present |
-5 |
|
organic or unclean injury |
absent |
0 |
|
|
present |
-5 |
|
delay in surgery > 48 hours |
absent |
0 |
|
|
present |
-5 |
|
traumatic cataract |
absent |
0 |
|
|
present |
-10 |
|
vitreous hemorrhage |
absent |
0 |
|
|
present |
-20 |
|
retinal detachment |
absent |
0 |
|
|
present |
-20 |
|
endophthalmitis |
absent |
0 |
|
|
present |
-30 |
total score =
= SUM(points for all of the findings present)
Interpretation:
• minimum score for first table: 30
• maximum score for the first table: 100
• minimum score for the concomitant pathologies: -100
• maximum score for the concomitant pathologies: 0
• minimum total score: -70
• maximum total score: 100
• The higher the score the better the outcome.
• A score <= 45 was associated with a poor outcome.
Purpose: Are you evaluating a pediatric patient with penetrating eye injury using the ocular trauma score of Acar et al.
Specialty: Ophthalmology, Emergency Medicine, Surgery, general
Objective: severity, prognosis, stage
ICD-10: S05,
