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[Traumatic hyphema caused by contusion in Zaire]
D K Kaimbo1, J I Muleya, D K Lubeji
1Service d'ophtalmologie, Clinique Universitaire de Kinshasa, Zaïre.
Journal Francais D'Ophtalmologie
|January 1, 1995
Summary
This study analyzed traumatic hyphema cases, finding that blows caused most injuries. Complications like corneal edema and cataract were common, with secondary hemorrhage occurring in 7% of patients.
Area of Science:
- Ophthalmology
- Trauma research
Context:
- Traumatic hyphema is a significant ocular injury.
- Understanding its clinical characteristics is crucial for effective management.
Purpose:
- To investigate the clinical features of traumatic hyphema.
- To identify common causes and associated injuries.
- To determine complication rates and potential risk factors.
Summary:
- Reviewed 57 non-perforating ocular injury cases over ten years.
- Average patient age was 20.2 years, with a 6:1 male-to-female ratio.
- Blows (53%) were the primary cause, followed by projectiles (30%).
- Common associated injuries included corneal edema (40%) and cataract (36%).
- Frequent complications were posterior synechiae (25%) and corneal blood staining (22%).
- Secondary hemorrhage occurred in 7% of cases.
Impact:
- Findings highlight the need for prompt diagnosis and management of traumatic hyphema.
- Identifies patient demographics and injury mechanisms for targeted prevention strategies.
- Suggests factors like eye pigmentation and limited care facilities may increase complication rates.