gms | German Medical Science

21st Annual Meeting of the German Retina Society and 8th Symposium of the International Society of Ocular Trauma (ISOT)

German Retina Society
International Society of Ocular Trauma

19.06. - 22.06.2008, Würzburg

Terror-related Open-Globe Injuries: Outcome assessment by the Ocular Trauma Classification System

Meeting Abstract

  • Ismail Halili - Ankara/Turkey
  • G. Sobaci - Ankara/Turkey
  • H. Durukan - Ankara/Turkey
  • C. Erdurman - Ankara/Turkey
  • A. Bayer - Ankara/Turkey
  • F.M. Mutlu - Ankara/Turkey
  • U. Erdem - Ankara/Turkey
  • Y. Uysal - Ankara/Turkey
  • S. Karagul - Ankara/Turkey

Retinologische Gesellschaft. International Society of Ocular Trauma. 21. Jahrestagung der Retinologischen Gesellschaft gemeinsam mit dem 8. Symposium der International Society of Ocular Trauma. Würzburg, 19.-22.06.2008. Düsseldorf: German Medical Science GMS Publishing House; 2008. DocISOTRG2008V048

The electronic version of this article is the complete one and can be found online at:

Published: June 18, 2008

© 2008 Halili et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( You are free: to Share – to copy, distribute and transmit the work, provided the original author and source are credited.



Purpose: To evaluate the value of the ocular trauma classification system (OTCS) in eyes with open-globe injury caused by terrorist acts.

Methods: The charts of 396 consecutive patients (420 eyes) presenting with globe injury to the Ophthalmology Department of Gulhane Military Academy and Medical School between march 1991 and April 2006 were reviewed in detail with respect to prognostic variables indicated by Ocular Trauma Classification System (OTCS ) as well as other variables of prognostic value in terror-related open-globe injuries. Statistical analysis was performed in only those for whom complete OTCS data were available.

Results: The mean age of patients was 23 years (ranging from 9 to 47 years) and the mean follow-up period was 5.9 months (ranging 12 days to 32 months).Thirty two of 396 patients (8 %) had traumatic amputations in the extremities due mostly to land mine explosions. Sixty two eyes (14.7 %) were enucleated .Type A, grade V, zone-III, and RAPD positive injuries had the worst outcome.

Conclusion: Terror-related open- globe injuries, especially those associated with land mines, have multiple organ injuries and devastating visual results. OTCS may provide standardized assessment of cases with terror-related open- globe injuries.