Hodnocení výsledků penetrujících poranění s kovovým nitroočním tělesem dle Ocular Trauma Score

Evaluation of Results of the Penetrating Injuries with Intraocular Foreign Body with the Ocular Trauma Score (OTS)

The goal of the study was to correlate the final functional status with the initial prediction of the OTS in the eyes following the penetrating injury with metallic intraocular body.

The group consisted of 20 men (20 eyes), the average age was 35.4 ± 10.8 years. The average follow up period was 21.0 ± 10.7 months. In all cases, the penetrating injury with the metallic intraocular foreign body was present. To evaluate the prediction of the final functional status of the organ, the OTS tables were used, and according to their criteria, the initial clinical findings in all 20 eyes were scored. A half of the year after the injury the achieved visual acuity was compared with proportional prediction in given group according to the final OTS table.

Results:
In the original prediction according to the score, 6 patients were classified in group 2, 8 patients in the group 3, 4 patients in the group 4, and 2 patients in the group 5. In the final evaluating of the functional status, in the group 2, we achieved in 3 cases 13 % of probability of the presumed final visual acuity, in 2 cases 26 % of probability, and in one case 18 % of probability. In the group 3, we achieved in 7 cases 28 % of probability and in 2 cases 44 % of probability of the achieved visual acuity. In the group 4, in 3 cases we achieved 21 % of probability and in one case 1 % of probability. In the group 5, in one case we achieved 92 % of the probability and in one case 5 % of probability of the final functional status.

Introducing the Ocular Trauma Score evaluating system into the practice offers the possibility of simple approximation of the final functional result after six months after the injury.

Key words:
penetrating injury, intraocular metallic foreign body, OTS, prediction of functional results