Sensorimotor Outcomes in Pediatric Patients With Ocular Trauma in Baltimore

Purpose: To evaluate sensorimotor outcomes fol-lowing traumatic open globe injuries in the pediatric population. Methods: A retrospective cohort of 80 pediatric pa-tients aged 0.4 to 17.7 years (mean age: 9.3 years, medi-an age: 8.3 years) presenting with traumatic open globe injury to the Johns Hopkins and University of Maryland Medical Centers was evaluated between January 2006 and January 2020. Parameters included the mechanism of injury, length of time of visual deprivation, initial and final visual acuity, additional eye pathologies, and de-mographic factors such as age and sex. Results: Among children with more than 6 months of follow-up, 77.4% developed poor stereopsis and 50% developed strabismus. Children who developed strabis-mus had a lower Pediatric Ocular Trauma Score (POTS), indicating greater severity of injury, than children who did not develop strabismus (P = .005, chi-square test). A higher POTS, indicating less severe ocular injury, sig-nificantly correlated to a better stereoacuity (P = .001, chi-square test). Conclusions:The findings indicate that strabismus and poor stereopsis are common in pediatric open globe injuries, occurring in more than half of children with pediatric open globe trauma. These outcomes are asso-ciated with poor presenting visual acuity, more severe ocular trauma, and a lower presenting POTS.