The Association Between Computerized Tomography Findings and Ocular Trauma Score in Open Globe Injury: The Prognostic Value of Imaging. Issue 2 (8th August 2022)

• Record Type: Journal Article
• Authors: Ameli, Kambiz; Arabi, Amir; Shahraki, Toktam; Markatia, Zahra; Mashouf, Parham; Shahraki, Tamkin; Yazdanjou, Farangis; Baradaran-rafii, Alireza; Bayaraa, Enkhmandakh; Lee, Wendy
• Is Part Of: Ophthalmic plastic and reconstructive surgery. Volume 39:Issue 2(2023)
• Page Start: 136
• Page End: 140
• Publication Date: 2022-08-08
• Subjects: Eye -- Surgery -- Periodicals; Ophthalmic plastic surgery -- Periodicals; Reconstructive Surgical Procedures -- Periodicals; Ophthalmologic Surgical Procedures -- Periodicals; Ophthalmology -- Periodicals; Surgery -- Periodicals; 617.70592
• DOI: 10.1097/IOP.0000000000002260
• Languages: English
• ISSNs: 0740-9303

Abstract

Abstract : Purpose: The aim of this study was to evaluate the association between CT findings and Ocular Trauma Score (OTS) in open globe injury. Methods: In 182 eyes with open globe injury, CT findings were categorized into 5 major types: scleral irregularity with decreased globe volume, dislocation of the crystalline lens, abnormal vitreous density, thickening of the chorioretinal layer, and intraocular foreign body/air. Association between different types and number of CT findings with OTS stages were evaluated through a multivariate analysis. Results: Mean age of the patients was 38 ± 8.5 years. The most common CT findings were severe scleral irregularity or globe collapse (71.9%) and abnormal vitreous density (56%). The most common OTS stages were II (44.5%) and I (30.7%). In multivariate analysis, abnormal vitreous density (odds ratio [OR] = 2.11, p < 0.001), chorioretinal thickening (OR = 1.89, p < 0.001), and intraocular foreign body/air (OR = 1.58, p = 0.001) were associated with more advanced OTS stages (I or II). Mean OTS in eyes with 1, 2, and 3 CT findings were 66 (stage III), 47 (stage II), and 37 (stage I), respectively ( p value = 0.008). Presence of 2 (OR = 2.46, p < 0.001) and 3 (OR = 2.92, p < 0.001) CT findings were associated with more advanced OTS stages (I or II). Conclusions: The type and number of CT findings may help to predict the OTS stage and visual prognosis in eyes with open globe injury. Abstract : The type and number of CT findings may be valuable in staging and identifying the prognosis of open globe injuries; the overall imaging findings may be as helpful in grading ocular trauma severity and predicting visual outcome as clinical data itself.