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Traumatic hyphaema. Outcome and management.

K A McClellan, G Fong, F A Billson

    Australian Family Physician
    |May 1, 1989
    PubMed
    Summary

    Most eye contusion injuries result in small hyphaemas, affecting less than a third of the anterior chamber. Some patients experienced secondary hemorrhage, even with minor hyphaema.

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    Area of Science:

    • Ophthalmology
    • Trauma care

    Background:

    • Hyphaema, or blood in the anterior chamber, is a common consequence of blunt eye trauma.
    • Understanding the characteristics and complications of hyphaema is crucial for effective patient management.

    Purpose of the Study:

    • To analyze the clinical features and outcomes of patients with traumatic hyphaema.
    • To identify the incidence of secondary hemorrhage in patients with hyphaema.

    Main Methods:

    • Retrospective review of 206 patient records admitted to Sydney Eye Hospital.
    • Data collection focused on hyphaema size and occurrence of secondary hemorrhage.

    Main Results:

    • The majority of hyphaemas (91.7%) were small, involving less than one-third of the anterior chamber volume.
    • Fifteen patients (7.3%) experienced secondary hemorrhage during their hospital stay.
    • Nine of the 15 patients with secondary hemorrhage had initially small hyphaemas.

    Conclusions:

    • Small hyphaemas are the most frequent presentation following eye contusion injuries.
    • Secondary hemorrhage is a significant complication that can occur even with initially small hyphaemas.

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