目的了解眼外伤评分对开放性眼外伤患者视力预后的判断作用。方法连续搜集近2年住院的开放性眼外伤患者,回顾性分析其临床特征,计算眼外伤评分,并与末次随访视力相比较,评估眼外伤评分的视力预测作用。结果共搜集88例(88眼)。男61例(69.32%),女27例(30.68%)。最常见的受伤区域为Ⅰ区(63.64%)。眼外伤评分主要集中于45~65分数段。眼外伤评分预测无光感和0.1—0.4视力的敏感度和特异度都是100%。预测光感-手动和≥0.5视力组,灵敏度达到100%。预测数指~0.09视力组特异度达到100%。结论眼外伤评分对于开放性眼外伤患者具有良好的视力预测作用。
Objective To measure the prognostic value of ocular trauma score (OTS) in open globe injuries. Methods Consecutive selection of open globe injuries admitted to our hospital in recent 2 years. The clinical manifestations were retrospectively analyzed. The patient' s OTS was calculated and compared with the visual acuity at the last follow-up to evaluate the prognostic ability of OTS in open globe injuries. Results 88 eyes of 88 cases were enrolled in the study. Male patients accounted for 69.32%. The most common injury area was area I ( 63.64% ). The OTS was mainly in 45 -65 sector. The sensitivity and specifity to predict visual acuity at no light perception and 0.1 -0.4 were 100%. The sensitivity to predict visual acuity at light perception-hand movement and ≥0.5 were 100%. The specifity to predict visual acuity at counting finger -0. 09 was 100%. Conclusion OTS has good prognostic value for open globe injuries.