The decision and consent for evisceration/enucleation after an open globe injury is very difficult for both patients and physicians. We believe that the presence of the injury in zone 3 and the presence of rupture are poor prognostic factors and that an OTS below 49 could be a risk factor for evisceration/enucleation. In conclusion, the OTS could be an objective parameter that provides an objective idea of visual rehabilitation and prognosis and helps in decision making for further surgery.