Ocular Trauma Score revisited – Making sense of it all

Globe injuries, a component of ophthalmic trauma, are a serious and preventable cause of monocular blindness typically affecting children and young adults. Visual outcome is generally unpredictable as it depends not only on anatomical structural damage but also on functional recovery, which is based on individual patient, operating surgeon, and other risk factors. There are no classifications, investigations, or treatment guidelines that are internationally standardized and practiced. As there are numerous controversies and variability of practice standards, we herewith review existing literature related to the relevance and practice of the Ocular Trauma Score to highlight validated and effective predictive models in adult ocular trauma and also in the pediatric population. Its applicability in various situations and proposed guidelines may help clinician to predict visual outcome following mechanical ocular trauma and also help audit outcomes when predicted outcomes are not achieved.