Read and Cavuoto reported the Toddler/Infant Ocular Trauma Score (TOTS) to describe traumatic open globe injury in a young pediatric patient. The authors are from Bascom Palmer Eye Institute at the University of Miami.
Patient selection: penetrating trauma to the eye in a child <= 6 years of age
Parameters:
(1) wound size in mm
(2) hyphema
(3) cataract or lens damage
(4) retinal detachment
(5) choroidal detachment
Parameters
Findings
Points
wound size
<= 6 mm
0
> 6 mm
1
hyphema
no
0
yes
1
cataract or lens damage
no
0
yes
1
retinal detachment
no
0
yes
2
choroidal detachment
no
0
yes
1
total score =
= SUM(points for all 5 parameters)
Interpretation:
• minimum score: 0
• maximum score: 6
• A score >= 2 is associated with high risk.
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