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A retrospective assessment of sensorimotor outcomes was conducted in paediatric patients after ocular trauma to evaluate potential predictors of poor outcome including time of treatment deprivation, Paediatric Ocular Trauma score (POTS) and patient characteristics. The review was from 2006-2020 and included 80 patients under 18 years (mean 9.3 years; 22 <six years, 29 aged 6-10 years, 29 >10 years) for repair of open globe injury. Of this cohort, 43.8% were female and 56.2% male. Injuries were due to penetrating metal, knife, blunt trauma, stick / wood, BB pellet / gunshot, pencil, and glass. Corneal lacerations accounted for 42, scleral laceration in 15, and 23 with corneal / scleral laceration. Traumatic cataract / lens capsule rupture occurred in 24, 19 had hyphema, nine with retinal detachment / tear, three with endophthalmitis and four with intraorbital foreign body. Average overall POTS was 51.35 points. Thirty were classified as POTS group 1, 27 to group 2, 17 to group 3 and six to group 4. Final visual acuity was available for 73 patients. No perception of light was recorded for 16.4% of eyes, 13.7% with light perception / hand movements, 6.8% with counting fingers, 4.1% with 20/200 to 20/800, 27.4% with 20/200 to 20/40 and 31.5% with better than 20/40. At final follow-up, 50% had strabismus and 59.6% had stereopsis at a median age of 6.8 years. The authors conclude that traumatic globe injury leads to high prevalence of poor visual acuity and significant ocular / psychosocial morbidity plus a high prevalence of sensorimotor deficits including strabismus and reduced stereoacuity; both linked with more severe trauma.

Sensorimotor outcomes in pediatric patients with ocular trauma in Baltimore.
Junn S, Pharr C, Chen V, et al.
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Fiona Rowe (Prof)

Institute of Population Health, University of Liverpool, UK.

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