Clinical Spectrum and Prognostic Evaluation of Ocular Trauma Using Ocular Trauma Score in a Tertiary Care Hospital of Uttarakhand
DOI:
https://doi.org/10.51168/sjhrafrica.v7i2.2640Keywords:
Ocular trauma, Ocular Trauma Score, Open globe injury, Closed globe injury, Visual prognosis, BETT classificationAbstract
BackgroundOcular trauma is an important cause of preventable monocular blindness and visual morbidity worldwide and contributes significantly to ocular morbidity, particularly in developing countries.³˒¹¹˒²¹ The Ocular Trauma Score (OTS) is a validated prognostic tool used to predict final visual outcome following ocular injury.¹˒²⁵
AimTo evaluate the clinical spectrum of ocular trauma and assess the prognostic significance of the Ocular Trauma Score in patients presenting to a tertiary care hospital in Uttarakhand.
Materials and MethodsThis hospital-based observational study included 110 patients presenting with ocular trauma to a tertiary care center in Uttarakhand. Injuries were classified according to the Birmingham Eye Trauma Terminology System (BETT).²˒⁴˒²⁵ OTS was calculated for each patient and correlated with type of injury, posterior segment involvement, and visual outcome.
ResultsClosed globe injuries constituted 80.9% of cases, while open globe injuries accounted for 19.1%. Road traffic accidents were the most common mode of injury. OTS Category 3 was the predominant category (62.7%). Significant associations were observed between OTS category and type of injury, visual outcome, and posterior segment involvement (p < 0.001).
ConclusionThe OTS demonstrated strong prognostic value in predicting severity and visual outcome following ocular trauma. Routine use of OTS can aid in prognostication, management planning, and patient counseling.¹˒¹⁶˒¹⁷
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