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Traumatic vitreous hemorrhage in children-clinical features and outcomes

Aditya Sudhalkar, Jay Chhablani, Subhadra Jalali

    Eye Science
    |May 28, 2015
    PubMed

    Insights

    Traumatic vitreous hemorrhage (TVH) in children often results from blunt trauma like sticks or balls. Prompt treatment improves visual outcomes, but firecracker injuries can cause severe bilateral damage.

    Area of Science:

    • Ophthalmology
    • Pediatric Medicine
    • Trauma Care

    Background:

    • Traumatic vitreous hemorrhage (TVH) is a significant cause of vision loss in pediatric patients.
    • Understanding the specific causes and outcomes is crucial for effective management.

    Purpose of the Study:

    • To investigate the clinical characteristics, etiological factors, and treatment outcomes of traumatic vitreous hemorrhage in children under 18.
    • To identify common injury mechanisms and assess visual recovery post-intervention.

    Main Methods:

    • A retrospective chart review of 501 eyes from 464 pediatric patients diagnosed with TVH between 2001 and 2012.
    • Comprehensive ocular and systemic examinations were performed to determine etiology and outcomes.

    Main Results:

    • The most common causes of TVH were injuries from sticks (43.43%) and cricket balls (13.24%).
    • Diminished vision was the primary complaint in 96.45% of cases.
    • Mean final best-corrected visual acuity (BCVA) significantly improved after treatment (P = 0.011).
    • Firecracker injuries were frequently associated with bilateral vitreous hemorrhage.

    Conclusions:

    • Traumatic vitreous hemorrhage poses substantial risks to children's vision.
    • Early diagnosis and appropriate management, including surgical intervention in many cases, can lead to improved visual acuity.
    • Awareness of the high risk of bilateral injury from firecrackers is essential.
    Abstract

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