Abstract
Objective
To establish if the BElfast Retinal Tear and detachment Score (BERT Score) can be used in triaging patients presenting with vitreous haemorrhage to allow safe differentiation between those with retinal tears and detachments, versus haemorrhagic posterior vitreous detachments.
Methods
Retrospective audit of 122 patients presenting to eye casualty with vitreous haemorrhage excluding trauma and vascular causes. Twenty-two patients were excluded from the study as they had no follow-up. The BERT Score was applied to the remaining 100 patients.
Results
Vitreous haemorrhages with a BERT score ≥4 points were more likely to have a retinal tear or detachment (P = 0.0056). The sensitivity was 84.6% (confidence interval (CI) 65.0–100.0%), specificity 34.5% (CI 24.5–44.5%), positive predictive value 16.2% (CI 7.4–24.9%) and negative predictive value 94% (CI 85.4–100.0%).
Conclusions
The BERT is a reliable scoring system to risk stratify patients with vitreous haemorrhage. Its high sensitivity and negative predictive value can help clinicians to detect high-risk patients.
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Data availability
The data that support the findings of this study are not openly available due to reasons of sensitivity and are available from the corresponding author upon reasonable request.
References
McCullagh D, Higham A, Best R. The BElfast Retinal Tear and detachment Score (BERT Score). Eye (Lond). 2021;35:1427–30.
Spraul CW, Grossnoklaus HE. Vitreous hemorrhage. Surv Ophthalmol. 1997;42:3–39.
Rabinowitz R, Yagev R, Shoham A, Lifshitz T. Comparison between clinical and ultrasound findings in patients with vitreous hemorrhage. Eye (Lond). 2004;18:253–6.
Sandinha MT, Kotagiri AK, Owen RI, Geenen C, Steel DH. Accuracy of B-scan ultrasonography in acute fundus obscuring vitreous hemorrhage using a standardized scanning protocol and a dedicated ophthalmic ultrasonographer. Clin Ophthalmol. 2017;11:1365–70.
Tan HS, Mura M, Bijl HM. Early vitrectomy for vitreous hemorrhage associated with retinal tears. Am J Ophthalmol. 2010;150:529–33.
Dhingra N, Pearce I, Wong D. Early vitrectomy for fundus-obscuring dense vitreous hemorrhage from presumptive retinal tears. Graefes Arch Clin Exp Ophthalmol. 2007;245:301–4.
Gupta B, Sivaprasad S, Wong R, Laidlaw A, Jackson TL, McHugh D, et al. Visual and anatomical outcomes following vitrectomy for complications of diabetic retinopathy: the Drive UK study. Eye. 2012;26:510–6.
Rowe JA, Erie JC, Baratz KH, Hodge DO, Gray DT, Butterfield L, et al. Retinal detachment in Olmsted County, Minnesota, 1976 through 1995. Ophthalmology. 1999;106:154–9.
Powe NR, Schein OD, Gieser SC, Tielsch JM, Luthra R, Javitt J, et al. Synthesis of the literature on visual acuity and complications following cataract extraction with intraocular lens implantation. Cataract Patient Outcome Research Team. Arch Ophthalmol. 1994;112:239–52.
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MB has collected, analysed the data and written the paper. RB has supervised the research project.
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Baba, M., Best, R. The BElfast Retinal Tear and detachment Score (BERT Score) in vitreous haemorrhage. Eye 38, 202–204 (2024). https://doi.org/10.1038/s41433-023-02660-3
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DOI: https://doi.org/10.1038/s41433-023-02660-3