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Published on: June 10, 2020
Contemporary aspects in the prognosis of traumatic hyphemas
Dimitris Papaconstantinou1, Ilias Georgalas, Nikos Kourtis
1Department of Ophthalmology, University of Athens, Athens, Greece. dpapaconstantinou@hotmail.com
Insights
Prognostic factors for traumatic hyphemas were identified in 72 young patients. Key indicators include hyphema size, blood color, and intraocular pressure, guiding treatment and predicting outcomes.
Area of Science:
- Ophthalmology
- Trauma Care
Background:
- Traumatic hyphema is a significant ocular injury in young individuals.
- Understanding prognostic factors is crucial for effective management.
Purpose of the Study:
- To identify and evaluate prognostic factors and clinical signs associated with traumatic hyphemas.
- To correlate hyphema characteristics with patient outcomes.
Main Methods:
- A retrospective study of 72 young patients hospitalized with traumatic hyphema over five years.
- Patients were categorized into three groups based on hyphema extent: small (3-4 mm), moderate, and total.
Main Results:
- Hyphema absorption occurred in 63 patients, with intraocular pressure (IOP) managed medically in 3-24 days.
- Two patients required surgical intervention, and seven received antiglaucomatous treatment for persistent high IOP.
Conclusions:
- Significant prognostic indicators for traumatic hyphemas include hyphema size, blood color, recurrent hemorrhage, absorption time, elevated intraocular pressure, and corneal blood staining.
- These factors are vital for predicting the course and management of traumatic hyphemas.
Purpose:
The present study concerns traumatic hyphemas and their prognostic factors and signs. The aim of this study is to determine the prognostic factors and signs of traumatic hyphemas.
Methods:
During the last five years, 72 young individuals were hospitalized with the diagnosis of suffering a traumatic hyphema and were divided in three groups according to the extent of their hyphema. The first group concerns 38 patients with a small hyphema 3-4 mm, the second group concerns 22 patients with moderate hyphema reaching the pupillary border, and the third group concerns 12 patients with a total hyphema.
Results:
The hyphema was absorbed in 63 patients and the IOP was controlled with medical treatment after 3-24 days. However, surgical management was necessary for two patients. Finally, antiglaucomatous treatment was administered in seven patients with persistent high intraocular pressure.
Conclusions:
The important clinical signs that determine the prognosis of such hyphemas are the size of hyphema, the blood color, recurrent hemorrhage, the absorption time, the increase of intraocular pressure, and blood staining of the cornea.
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