Validation of new ocular trauma classification

What is it about?

Introduction: To validate newly proposed reinforced Birmingham Eye Trauma Terminology (BETT) classification of mechanical ocular trauma. Methods: This is a prospective cohort study All the patients were presented to the Out-Patient department between January 2005 and December 2014, and were examined and categorised based on the BETT. Cases which did not comply with the BETT system of classification were placed in additional categories, and documented for and type of injury. Results: Of 4721 eyes that suffered mechanical injuries, 1060 (22.4%) eyes could not be classified with BETTS. These include 368 globe injuries (7%) associated with orbital/ocular adnexa injury; 692 eyes (14.6%) with ocular surface foreign body (OSFB) or ocular wall foreign body (IMFB); 77(1.6%) eyes with contusion, 9(0.19) eyes with lamellar laceration associated OSFB or OWFB, 29 eyes (0.6%) with globe rupture associated OSFB, OWFB or intraocular foreign body (IOFB), and 60 eyes (1.4%) with laceration associated OSFB or OWFB. Conclusion: BETT needs modification. Suggestions have been made for the same.

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Why is it important?

It is important because old classification was published in 2006 and does not cover many type of injuries

Perspectives