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Pediatric ocular trauma score as a prognostic tool in the management of pediatric traumatic cataracts

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Abstract

Objective

To introduce and validate the pediatric ocular trauma score (POTS) — a mathematical model to predict visual outcome trauma in children with traumatic cataract

Methods

In this retrospective cohort study, medical records of consecutive children with traumatic cataracts aged 18 and below were retrieved and analysed. Data collected included age, gender, visual acuity, anterior segment and posterior segment findings, nature of surgery, treatment for amblyopia, follow-up, and final outcome was recorded on a precoded data information sheet. POTS was derived based on the ocular trauma score (OTS), adjusting for age of patient and location of the injury. Visual outcome was predicted using the OTS and the POTS and using receiver operating characteristic (ROC) curves.

Results

POTS predicted outcomes were more accurate compared to that of OTS (p = 0.014).

Conclusion

POTS is a more sensitive and specific score with more accurate predicted outcomes compared to OTS, and is a viable tool to predict visual outcomes of pediatric ocular trauma with traumatic cataract.

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Authors and Affiliations

  1. Drashti Netralaya, Nr. GIDC, Chakalia Road, Dahod, 389151, Gujarat, India

    Mehul A. Shah, Shreya M. Shah, Kashyap Patel, Satyam Gupta & Siddharth Gosai

  2. National Healthcare Group Eye Institute, Tan Tock Seng Hospital, Tan Tock Seng, Singapore

    Rupesh Agrawal

  3. Yong Loo Lin School of Medicine, National University of Singapore, Singapore City, Singapore

    Ryan Teoh

Authors
  1. Mehul A. Shah
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  2. Rupesh Agrawal
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  3. Ryan Teoh
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  4. Shreya M. Shah
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  5. Kashyap Patel
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  6. Satyam Gupta
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  7. Siddharth Gosai
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Corresponding author

Correspondence to Mehul A. Shah.

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Funding

No funding was received for this research.

Conflict of Interest

All authors certify that they have no affiliations with or involvement in any organization or entity with any financial interest (such as honoraria; educational grants; participation in speakers’ bureaus; membership, employment, consultancies, stock ownership, or other equity interest; and expert testimony or patent-licensing arrangements), or non-financial interest (such as personal or professional relationships, affiliations, knowledge, or beliefs) in the subject matter or materials discussed in this manuscript.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.

For this type of study formal consent is not required.

Additional information

No financial support was received from any company or institution.

This study is not presented at any conference or meeting.

No conflicting relationship exists for any author.

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Shah, M.A., Agrawal, R., Teoh, R. et al. Pediatric ocular trauma score as a prognostic tool in the management of pediatric traumatic cataracts. Graefes Arch Clin Exp Ophthalmol 255, 1027–1036 (2017). https://doi.org/10.1007/s00417-017-3616-y

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  • DOI: https://doi.org/10.1007/s00417-017-3616-y

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