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Factors affecting the visual outcome in hyphema management in Guinness Eye Center Onitsha
1Guinness Eye Center, Nnamdi Azikiwe University Teaching Hospital, Onitsha, Anambra State, Nigeria.
Insights
Hyphema, a common eye injury complication, often results from trauma. Early treatment and complication management significantly improve visual outcomes in patients with hyphema.
Area of Science:
- Ophthalmology
- Trauma Care
- Public Health
Background:
- Hyphema is a frequent complication following eye injuries.
- Understanding its causes, complications, and treatment outcomes is crucial for visual health.
Purpose of the Study:
- To determine complications associated with hyphema.
- To evaluate the outcomes of hyphema treatment.
- To recommend strategies for improving visual outcomes.
Main Methods:
- Retrospective review of 74 hyphema cases from January 2001 to December 2005.
- Analysis of patient biodata, injury agents, associated injuries, and complications.
- Assessment of visual acuity at presentation, discharge, and last follow-up.
Main Results:
- Trauma was the predominant cause of hyphema, with whip and fist injuries being common.
- Major complications included secondary glaucoma (52.5%), corneal siderosis (30.0%), and rebleeding (10%).
- Visual outcome correlated with presentation time, complications, and treatment, with significant improvement post-treatment.
Conclusions:
- Hyphema frequently co-occurs with other eye injuries like vitreous hemorrhage and cataracts.
- Secondary glaucoma, corneal siderosis, and rebleeding are common complications.
- Early presentation, prompt complication detection, and appropriate treatment are key to enhancing visual outcomes.
Background:
This study aims of determining the complications, outcome of hyphema treatment and recommend ways of enhancing good visual outcome.
Method:
The records of all cases of hyphema seen from 1st January 2001 to 31st December 2005 were reviewed retrospectively. The variables analyzed were the biodata of all the patients, the agents causing hyphema, associated injuries and complications. Visual acuity at presentation, discharge and last visit was analyzed.
Results:
Seventy four patients that had hyphema were reviewed. The male:female ratio was 3.5:1. Trauma was predominantly main cause of hyphema. The common agents of injury include whip (23.2%) and fist (18.8%). The common complications were secondary glaucoma (52.5%), corneal siderosis (30.0%) and rebleeding (10%). Visual outcome is related to time ofpresentation, complications and treatment. Significant improvement was achieved following treatment.
Conclusion:
Hyphema is a common complication of eye injuries. It is commonly associated with other eye injuries like vitreous haemorrhage and cataract. Common complications include secondary glaucoma, corneal siderosis and rebleeding. Visual outcome is dependent on time of presentation, severity and nature of complications. Visual outcome can be improved by early presentation and detection of complications and appropriate treatment.
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