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Is topical corticosteroid necessary in traumatic hyphema?
E B Türkoğlu1, T Celik2, E Celik3
1Akdeniz University, Department of Ophthalmology, 07100 Antalya, Turkey.
Journal Francais D'Ophtalmologie
|September 10, 2014
Summary
Topical corticosteroids did not improve outcomes for traumatic hyphema compared to supportive therapy alone. Supportive care alone is a convenient and cost-effective strategy for uncomplicated traumatic hyphema management.
Area of Science:
- Ophthalmology
- Trauma Care
Background:
- Traumatic hyphema management often involves supportive care.
- The role of adjunctive topical corticosteroids is debated.
Purpose of the Study:
- To compare outcomes of traumatic hyphema treated with topical corticosteroids plus supportive therapy versus supportive therapy alone.
Main Methods:
- Retrospective study of 206 patients with traumatic hyphema.
- Group I (98 eyes): topical corticosteroids + supportive therapy.
- Group II (108 eyes): supportive therapy alone. Evaluated hyphema size, visual acuity, intraocular pressure, clearance time, and rebleeding.
Main Results:
- No significant difference in hyphema resorption time (P=0.62) or rebleeding rates (P=0.67) between groups.
- Initial and final visual acuities were similar (P=0.86).
- Intraocular pressure was significantly higher in the corticosteroid group (19.7 mmHg) vs. supportive care alone (14.2 mmHg) (P=0.04).
Conclusions:
- Topical corticosteroids did not reduce rebleeding or improve visual outcomes in traumatic hyphema.
- Supportive therapy alone is a viable, cost-effective strategy for uncomplicated cases.
- Higher intraocular pressure observed with corticosteroid use warrants consideration.
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