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ISSN 1561-3070 (Electronic)

2018, Number 2

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Rev Cub Oftal 2018; 31 (2)

Usefulness of the ocular trauma score as a visual prognostic tool in traumatic cataract surgery

Ramos PY, Hernández SJR, Rodríguez SB, Gutiérrez CM, Miranda HI, Barroso LR

Language: Spanish
References: 23
Page: 1-10
PDF size: 116.23 Kb.


ABSTRACT

Objective: determine the usefulness and applicability of the ocular trauma score to predict visual results in cataract surgery.
Methods: a retrospective longitudinal descriptive study was conducted of 124 traumatic cataract patients operated on at the Center for Ocular Microsurgery from January 2010 to December 2015. The patients were divided into two groups according to the type of previous ocular trauma. Each patient was initially evaluated with the ocular trauma score. The dependent variable was final visual acuity after three months of follow-up, which was compared with its initial value as categorized and stratified according to the ocular trauma score. All inferential statistical tests used a significance level of 0.05, except for Kolmogorov-Smirnov's and Levene's tests, where p should be above 0.05. The statistical analysis was supported by tables and charts.
Results: the incidence of traumatic surgery was 12.0 operations per 1 000 cataract operations. A predominance was found of patients with a history of closed ocular trauma (61.3 %) and male sex (73.4 %). Mean age was 56.4/15.2 years. Visual acuity was 20/40 or better in 76.6 % of the cases. The predictors were trauma type, retinal detachment, pars plana vitrectomy and intraocular pressure elevation.
Conclusions: the ocular trauma score was found to be useful to identify patients who will have visual acuity values of 20/60 or higher.


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