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Traumatic hyphema in children.

P J Agapitos1, L P Noel, W N Clarke

  • 1Department of Ophthalmology, Children's Hospital of Eastern Ontario, Ottawa.

Ophthalmology
|October 1, 1987
PubMed
Summary
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Traumatic hyphema in children can lead to secondary hemorrhage in 7.6% of cases. While most children achieve good vision, secondary hemorrhage impacts visual outcomes, highlighting the need for careful management in pediatric eye injuries.

Area of Science:

  • Ophthalmology
  • Pediatric Medicine
  • Trauma Care

Background:

  • Traumatic hyphema is a significant eye injury in children.
  • Understanding rebleeding risk and visual outcomes is crucial for pediatric eye care.

Purpose of the Study:

  • To determine the incidence of secondary hemorrhage in pediatric traumatic hyphema.
  • To evaluate visual outcomes and risk factors associated with rebleeding in children with traumatic hyphema.

Main Methods:

  • Retrospective review of medical records for 316 children (ages 1-17) diagnosed with traumatic hyphema.
  • Analysis of patient demographics, treatment, rebleeding rates, and long-term visual acuity.
  • Calculation of traumatic hyphema incidence within a defined pediatric population.

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Main Results:

  • Secondary hemorrhage occurred in 7.6% of patients, with 3 requiring surgical intervention.
  • Rebleeding risk did not correlate with age, topical steroid use, or cycloplegics.
  • 91% of patients achieved 20/30 vision or better, compared to 77% of those with secondary hemorrhage. Amblyopia was rare.

Conclusions:

  • Traumatic hyphema incidence is approximately 17 per 100,000 children annually.
  • Secondary hemorrhage is a complication that can negatively impact visual prognosis in pediatric traumatic hyphema.
  • Effective management strategies are essential to optimize visual outcomes in affected children.