Exploring computerized tomography findings and ocular trauma score in open globe injuries: assessing imaging’s predictive value
Abstract Background To investigate the relationship between computerized tomography (CT) findings and the Ocular Trauma Score (OTS) in patients with open globe injury (OGI). Methods This study included 123 individuals with OGI, examining injury characteristics, clinical symptoms, and CT scans for sc...
Saved in:
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2025-07-01
|
| Series: | BMC Ophthalmology |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12886-025-04190-w |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1849335269369577472 |
|---|---|
| author | Ezgi Karataş Denizcan Özizmirliler Ceren Durmaz Engin Mustafa Barış Ekrem Anıl Sarı Ziya Ayhan |
| author_facet | Ezgi Karataş Denizcan Özizmirliler Ceren Durmaz Engin Mustafa Barış Ekrem Anıl Sarı Ziya Ayhan |
| author_sort | Ezgi Karataş |
| collection | DOAJ |
| description | Abstract Background To investigate the relationship between computerized tomography (CT) findings and the Ocular Trauma Score (OTS) in patients with open globe injury (OGI). Methods This study included 123 individuals with OGI, examining injury characteristics, clinical symptoms, and CT scans for scleral irregularity, reduced globe volume, dislocated crystalline lens, aberrant vitreous density, chorioretinal thickening, and foreign body/air presence. The prognostic value of CT imaging in OGI was evaluated by assessing its relationship with OTS findings. Results The most common OTS category was stage 3, found in 71 eyes (57.7%). The prevalent CT findings included severe scleral irregularity or globe collapse (34.1%), dislocated crystalline lens (33.3%), and abnormal vitreous density (26.8%). Multivariate analysis revealed that severe scleral irregularity or globe collapse (Odds Ratio [OR] = 1.36, p = 0.006) and abnormal vitreous density (OR = 1.7, p < 0.001) were significantly associated with more advanced OTS stages (I or II), indicating more severe ocular trauma. The presence of three CT findings was associated with a higher likelihood of falling into OTS stages I or II (OR = 6.82, p = 0.001). Conversely, the absence of CT findings was associated with a decreased probability of having more severe OTS stages (OR = 0.05, p < 0.001). Conclusions The study concludes that imaging findings are valuable for correlating with the severity of open globe injuries, highlighting the importance of CT in assessing ocular trauma. |
| format | Article |
| id | doaj-art-6bfa88bebfb5410cb4a2fbb375def5fe |
| institution | Kabale University |
| issn | 1471-2415 |
| language | English |
| publishDate | 2025-07-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Ophthalmology |
| spelling | doaj-art-6bfa88bebfb5410cb4a2fbb375def5fe2025-08-20T03:45:19ZengBMCBMC Ophthalmology1471-24152025-07-012511810.1186/s12886-025-04190-wExploring computerized tomography findings and ocular trauma score in open globe injuries: assessing imaging’s predictive valueEzgi Karataş0Denizcan Özizmirliler1Ceren Durmaz Engin2Mustafa Barış3Ekrem Anıl Sarı4Ziya Ayhan5Department of Ophthalmology, Faculty of Medicine, Ibrahim Cecen UniversityDepartment of Ophthalmology, Dr. Nevruz Erez State HospitalDepartment of Ophthalmology, Buca Seyfi Demirsoy HospitalDepartment of Radiology, Faculty of Medicine, Dokuz Eylul UniversityDepartment of Radiology, Faculty of Medicine, Dokuz Eylul UniversityDepartment of Ophthalmology, Faculty of Medicine, Dokuz Eylul UniversityAbstract Background To investigate the relationship between computerized tomography (CT) findings and the Ocular Trauma Score (OTS) in patients with open globe injury (OGI). Methods This study included 123 individuals with OGI, examining injury characteristics, clinical symptoms, and CT scans for scleral irregularity, reduced globe volume, dislocated crystalline lens, aberrant vitreous density, chorioretinal thickening, and foreign body/air presence. The prognostic value of CT imaging in OGI was evaluated by assessing its relationship with OTS findings. Results The most common OTS category was stage 3, found in 71 eyes (57.7%). The prevalent CT findings included severe scleral irregularity or globe collapse (34.1%), dislocated crystalline lens (33.3%), and abnormal vitreous density (26.8%). Multivariate analysis revealed that severe scleral irregularity or globe collapse (Odds Ratio [OR] = 1.36, p = 0.006) and abnormal vitreous density (OR = 1.7, p < 0.001) were significantly associated with more advanced OTS stages (I or II), indicating more severe ocular trauma. The presence of three CT findings was associated with a higher likelihood of falling into OTS stages I or II (OR = 6.82, p = 0.001). Conversely, the absence of CT findings was associated with a decreased probability of having more severe OTS stages (OR = 0.05, p < 0.001). Conclusions The study concludes that imaging findings are valuable for correlating with the severity of open globe injuries, highlighting the importance of CT in assessing ocular trauma.https://doi.org/10.1186/s12886-025-04190-wComputerized tomographyOcular trauma scoreOpen Globe injury |
| spellingShingle | Ezgi Karataş Denizcan Özizmirliler Ceren Durmaz Engin Mustafa Barış Ekrem Anıl Sarı Ziya Ayhan Exploring computerized tomography findings and ocular trauma score in open globe injuries: assessing imaging’s predictive value BMC Ophthalmology Computerized tomography Ocular trauma score Open Globe injury |
| title | Exploring computerized tomography findings and ocular trauma score in open globe injuries: assessing imaging’s predictive value |
| title_full | Exploring computerized tomography findings and ocular trauma score in open globe injuries: assessing imaging’s predictive value |
| title_fullStr | Exploring computerized tomography findings and ocular trauma score in open globe injuries: assessing imaging’s predictive value |
| title_full_unstemmed | Exploring computerized tomography findings and ocular trauma score in open globe injuries: assessing imaging’s predictive value |
| title_short | Exploring computerized tomography findings and ocular trauma score in open globe injuries: assessing imaging’s predictive value |
| title_sort | exploring computerized tomography findings and ocular trauma score in open globe injuries assessing imaging s predictive value |
| topic | Computerized tomography Ocular trauma score Open Globe injury |
| url | https://doi.org/10.1186/s12886-025-04190-w |
| work_keys_str_mv | AT ezgikaratas exploringcomputerizedtomographyfindingsandoculartraumascoreinopenglobeinjuriesassessingimagingspredictivevalue AT denizcanozizmirliler exploringcomputerizedtomographyfindingsandoculartraumascoreinopenglobeinjuriesassessingimagingspredictivevalue AT cerendurmazengin exploringcomputerizedtomographyfindingsandoculartraumascoreinopenglobeinjuriesassessingimagingspredictivevalue AT mustafabarıs exploringcomputerizedtomographyfindingsandoculartraumascoreinopenglobeinjuriesassessingimagingspredictivevalue AT ekremanılsarı exploringcomputerizedtomographyfindingsandoculartraumascoreinopenglobeinjuriesassessingimagingspredictivevalue AT ziyaayhan exploringcomputerizedtomographyfindingsandoculartraumascoreinopenglobeinjuriesassessingimagingspredictivevalue |