ArticleBMC ophthalmology2025
Exploring computerized tomography findings and ocular trauma score in open globe injuries: assessing imaging's predictive value.
Article in BMC ophthalmology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundTo investigate the relationship between computerized tomography (CT) findings and the Ocular Trauma Score (OTS) in patients with open globe injury (OGI).
methodsThis study included 123 individuals with OGI, examining injury characteristics, clinical symptoms, and CT scans for scleral irregularity, reduced globe volume, dislocated crystalline lens, aberrant vitreous density, chorioretinal thickening, and foreign body/air presence. The prognostic value of CT imaging in OGI was evaluated by assessing its relationship with OTS findings.
resultsThe most common OTS category was stage 3, found in 71 eyes (57.7%). The prevalent CT findings included severe scleral irregularity or globe collapse (34.1%), dislocated crystalline lens (33.3%), and abnormal vitreous density (26.8%). Multivariate analysis revealed that severe scleral irregularity or globe collapse (Odds Ratio [OR] = 1.36, p = 0.006) and abnormal vitreous density (OR = 1.7, p < 0.001) were significantly associated with more advanced OTS stages (I or II), indicating more severe ocular trauma. The presence of three CT findings was associated with a higher likelihood of falling into OTS stages I or II (OR = 6.82, p = 0.001). Conversely, the absence of CT findings was associated with a decreased probability of having more severe OTS stages (OR = 0.05, p < 0.001).
conclusionsThe study concludes that imaging findings are valuable for correlating with the severity of open globe injuries, highlighting the importance of CT in assessing ocular trauma.
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