摘要目的：评价两种眼外伤评分标准在儿童开放性眼外伤中的应用。方法回顾河北省眼科医院儿童开放性眼外伤患者的资料。分析眼外伤评分系统影响因素与末次随访视力的关系,分析改良后眼外伤评分、儿童眼外伤评分与患者末次随访的相关性。结果125例(125眼)中男97例(77.6%),女28例(22.4%)。年龄3~14岁,平均(9.3±4.1)岁。随访16~32个月。初诊视力低、年龄小、视网膜脱离、眼球破裂伤、伤口位置靠后、玻璃体积血是治疗后视力差的影响因素(P <0.05)。改良的眼外伤评分与治疗后视力高度相关(r=0.67,P<0.001),并且应用简便。儿童眼外伤评分标准与视力相关(r=0.53,P<0.001),但是其中的影响因素作用有限。结论改良的眼外伤评分标准与儿童开放性眼外伤治疗后视力有着高度的相关性,且简便易行。

abstractsObjective To assess the application of ocular trauma score ( OTS ) and paediatric ocular trauma score ( POTS) for paediatric open globe injuries. Methods Data of 125 cases with open globe injuries aged from 3 to 14 years who were treated between March 2010 and March 2013 were retrospectively analysed. The minimum follow-up period was 1 year. The variables of the modified OTS and POTS were analysed for their predictive values in terms of the best-corrected visual acuity. The Score category of modified OTS and POTS for their predictive values in terms of the best-corrected visual acuity was analysed. Results Of 125 patients, there were 97 (77. 6%) boys and 28 (22. 4%) girls. Their mean age was (9. 3 ± 4. 1) years old. The follow-up time was 16 to 32 months. Initial visual acuities, younger age, retinal detachments, type of injury, wound locations and vitreous haemorrhages had significant impacts on visual outcome (P<0. 05). Modified OTS had high correlation with visual acuity after the treatment and was easy to perform (r=0. 67,P <0. 001). The Score category of the POTS correlated with the actual final visual acuities (r =0. 53,P <0. 001), but several POTS variables had only limited impacts on visual outcome. Conclusion The modified OTS has a high predictive value for visual outcome after open globe injuries in children.