| Objective:Children of the development of visual function is not perfect,the organization structure more fragile and inflammatory reactions more particularity,open children trauma condition is more complex,ocular trauma in children as children acquired sex is the important cause of visual impairment and blindness in children,not only affect children’s visual function development,also affect the healthy development of children’s mental health and various aspects,but also did a lot of economic burden to family and society.Due to the lack of safety awareness in children and the inability to describe the medical history in detail,the diagnosis and treatment of children’s eye injuries are often delayed.Appropriate surgical diagnosis and treatment can significantly improve the visual prognosis of children with open eye injuries.Accurate preoperative assessment to predict final vision is of great clinical significance.This study through retrospectively analyzed cases data of open children trauma patients,to analyze the clinical factors influencing the prognosis of visual acuity was significantly related to have parameters,and compare the ocular trauma score(OTS),paediatric ocular trauma score(POTS),pediatric open globe trauma score(POGTS)which more suitable for the prognosis assessment of children with ocular trauma.Methods: According to the strict inclusion and exclusion criteria,the children with open eye trauma(aged ≤14 years old)admitted to the first clinical hospital of xinjiang medical university from July 2016 to September 2018 were finally included.Retrospective analysis was performed on the patients hospitalized due to open eye trauma in children.The follow-up period was more than 6 months until the visual acuity was basically stable.Detailed clinical data were recorded.Single factor chi-square test was used to calculate the clinical factors related to poor vision prognosis(vision < 20/200)and good vision prognosis(vision > 20/40),respectively.Clinical data of children with open eye trauma were further collected and OTS,POTS and POGTS scores were calculated respectively.Compare the POGTS scoring system and OTS scoring system,POGTS scoring system and POTS scoring system evaluation of visual outcome respectively in Paediatric Open—globe Ocular Trauma Results: Among 61 children aged 14 years old with ocular trauma,44 were males and 17 were females,including laceration of the eyeball(63.93%)and rupture of the eyeball(36.07%).44 patients(62.67%)had the wound location in area I,11 patients(18.03%)in area II,and 2 patients(3.28%)in area III.OTS,POTS and POGTS scores in the visual prognosis group(vision < 20/200)and the visual prognosis group(20/200),visual acuity and visual prognosis between good visual acuity(20/40)and the prognosis is good eyesight(vision < 20/40)there are significant differences(P < 0.05),the ROC curve for POGTS score for the eyesight worse prognosis(vision < 20/200)prediction: area under the curve is 0.832,P = 0.015 < 0.05,95% confidence interal(0.645,0.954);The area under the curve was 0.826,P=0.001<0.05,and the 95% confidence interval was 0.687,0.965.POTS and POGTS were used to compare the area under the ROC curve of OTS and POGTS,respectively.Conclusion: POGTS scoring system is superior to POTS and OTS in predicting poor vision prognosis(vision <20/200)and good prognosis(vision 20/40)in children with open ocular trauma,and the lower the score is,the higher the probability of poor vision prognosis is.POGTS scoring system provides us with effective help in the prognosis evaluation of open eye trauma in children. |
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