Ocular Trauma Score in Open Globe Ocular Trauma with Posterior Segment Involvement

Abstract

Objective: To determine the effectiveness of the Ocular Trauma Score in patients with open globe trauma with posterior segment involvement.

Methods: A descriptive, longitudinal, prospective, case series study was conducted with 135 eyes with open globe ocular trauma with posterior segment involvement, attended at the Vitreo-Retina Service of the Cuban Institute of Ophthalmology Ramón Pando Ferrer in the period from January 2019 to December 2022.

Results: Male sex predominated (92.6 %) with an average age of 37 years. Zone I was affected in 52.6 %, with wounds ≤ 4 mm (56.3 %), penetrating (85.2 %), with intraocular foreign body (70.4 %), 71.8 % repaired within 24 h, with intravitreal prophylaxis (77.8 %). Thirty-four.8 % and 32.6 % were in categories 2 and 3 of the Ocular Trauma Score, respectively, with initial and final corrected visual acuity of PL-MM (60.7 % and 30.4 %), with positive correlation between them (rho*** = 505) and with the Ocular Trauma Score (rho* = 0.744; rho** = 0.536). There was accord with the prognostic Ocular Trauma Score in category 2, 3 and 4. Initial visual acuity improved in 57.8 % relative to eyes with rupture (60 %).

Conclusions: Open ocular trauma with posterior segment involvement affects young men. Penetrating injuries in zone I, ≤4 mm, with intraocular foreign body, repaired within 24 h, with antibiotic prophylaxis are relevant clinical-surgical characteristics. Patients in categories 2 and 3 of the Ocular Trauma Score predominate. The Ocular Trauma Score is effective as a prognostic tool, with improvement of final vision.