Subject(s)
Disease Management , Hyphema/complications , Prognosis , Retrospective Studies , Wounds and InjuriesABSTRACT
Hyphema is a relatively common problem in our society with complications and risk sequels. No study has been conducted on this problem in Kurdistan region. To detect common causes of ocular trauma in Dohuk governorate and to detect the most vulnerable age group involved with the visual acuity outcome after treatment. The study was conducted in Azadi General Teaching Hospital and the Emergency Hospital / Dohuk / Kurdistan region, from June 2006 to June 2007. A follow-up clinical study of patients presenting with traumatized eyes with hyphema was conducted. The study included 40 patients of traumatic hyphema out of 137 cases of ocular trauma. Ocular examinations [visual acuity, intra ocular pressure, fundoscopy and others] were done for all patients at presentation and subsequently during the follow-up. The annual prevalence rate of traumatic hyphema in Dohuk govemorate was about 5 per 100.000 individuals. The study showed a male predominance. A total of 35% of cases were encountered among children aged [6 - 10] years. Blunt trauma was observed in [60%] of patients while the other [40%] had penetrating traumas. A total of [90%] of females suffered from penetrating trauma while males were injured by blunt trauma more frequently. The left eye was relatively more frequently involved [55%] than the right. A total of 37 eyes regained acceptable final visual acuity, while two eyes progressed to no light perception, and one eye had just light perception. Tranexamic acid was found to reduce re-bleeding in our cases. Increased intraocular pressure is one of the most frequent complications of traumatic hyphema that may ultimately result in impaired vision. Complete eye examination is essential to assess concomitant injuries which reflect the severity of initial trauma
Subject(s)
Humans , Male , Female , Hyphema/epidemiology , Hyphema/complications , Eye Injuries , Tranexamic Acid , Follow-Up StudiesABSTRACT
Eye trauma is a common cause of one-sided blindness in children and teenagers. Blunt trauma can cause rupture of orbital cavity and the herniation of its content may affect the nearby sinuses leading to hemorrhage in the anterior chamber [hyphema].Traumatic hyphema that specially happens in the eyes with blunt trauma can be followed by high infra ocular pressure, corneal staining, cataract, injury of the optic nerve and sever loss of visual acuity [VA]. Early diagnosis and treatment of this complication can prevent the later and worst complications. The aim of this study is to determine the prevalence of traumatic hyphema and its complications in eye blunt trauma. According to a cross- sectional descriptive protocol, we studied 83 patients with eye blunt trauma who referred to the eye clinics of Bahman 22[nd] and Farabi hospitals. A formal questionnaire was designed to be completed for personal particularities of each patient as well as the information about the examinations of orbit, cornea, AC, lens and optic nerves. In addition, the Intraocular Pressure [IOP] and initial VA were recorded. Then we analyzed these records and evaluated the prevalence of hyphema and its complications in eye blunt trauma. This study shows that hyphema is a common complication of eye blunt trauma that occurs in approximately 50% of the patients with eye blunt trauma. 36.1% of the patients were in the age group of 20-40 years old with an average age of 36.7 years. There were 65.9% males and 34.1% females. The most common causes of trauma included projectiles [48.8%] and assaults [36.6%]. The most common associated symptoms with hyphema included red eye [56.09%] and dark vision [48.7%].The most frequent occurring complications included sever decrease of initial VA [75.6%] and high IOP [48.8%]. Hyphema is a common complication of eye blunt trauma that may lead to other complications like sever loss of VA and high IOP. So, thinking of and searching for hyphema in any patient with eye blunt trauma can help us to diagnose it at early stages and prevent other complications
Subject(s)
Humans , Male , Female , Adult , Hyphema/complications , Prevalence , Eye Injuries , Cross-Sectional StudiesABSTRACT
This report describes a rare occurrence of bilateral, spontaneous, nontraumatic hyphema in a 6 weeks old infant, associated with a small, multiple skin lesions. The diagnosis of juvenile xanthogranuloma was confirmed by histopathological examination of the cutaneous lesions. The hyphaema cleared gradually in 2 weeks time with conservative management.
Subject(s)
Administration, Topical , Anterior Chamber/pathology , Anti-Bacterial Agents/administration & dosage , Anti-Inflammatory Agents/administration & dosage , Atropine/administration & dosage , Dexamethasone/administration & dosage , Drug Therapy, Combination , Follow-Up Studies , Humans , Hyphema/complications , Infant , Male , Mydriatics/administration & dosage , Ointments , Tobramycin/administration & dosage , Xanthogranuloma, Juvenile/complicationsABSTRACT
This prospective, randomised study was performed to determine the best treatment available for mild noncomplicated traumatic hyphema. This study comprised 120 patients who fulfill the criteria of our study. The patients were admitted in our center through the eye casulty department and they were randomly divided into three equal and similar groups, one group received Predforte [registered sign] eye drops, the other received Predforte [registered sign] and Cyclogel [registered sign] 1% eye drops and the control group received Tears Natural [registered sign] eye drops. For each patient, the following characteristics were recorded at presentation: age, sex, size of hyphema, initial visual acuity [IVA], intraocular pressure [IOP] and fundus examination. The outcome, hyphema resorption time, and occurrence of complications such as rebleeding and secondary glaucoma were recorded and compared between the groups. the resorption time was almost the same [4 days] regardlless of the treatment modality the patient received. Four [3.3%] patients developed a rebleed, two [5%] in the first [steroid only] group and 2 [5%] in the third [control] group. the final visual acuities [FVA] were 0.3 log MAR on discharge, the mean log MAR is 0.1.P value of [0.04]. The cause of the decline in final visual acuity in these 4 patients was the development of traumatic cataract rather than the treatment used. A total of 14 patients [11.6%] developed a mild had FVAto moderate elevation of IOP [23-29 mmHg]; 10 [25%] in the first [steroid only] group, 2 [5%] in the second [steroid cyclo] group and 2 [5%] in the third [control] group. In all cases, the IOP returned to normal either without treatment or with short term Timolol eye drops. In cases of mild simple traumatic hyphems not exceeding 50%, simple lubricating drops probably is most efficient and safe treatment. Using other such as Predforte and cyclopentolate did have any addional beneficiary effect
Subject(s)
Humans , Male , Female , Hyphema/complications , Cataract , Hyphema/etiology , Wounds and Injuries , Prospective Studies , Randomized Controlled Trials as TopicABSTRACT
Juvenile xanthogranuloma is a rare, non-neoplastic disease occurring mainly in infants under 1 year of age. We report a 2 ' -month-old infant with typical presentation and signs of this disease. To the best of our knowledge, this is the first case of juvenile xanthogranuloma with ocular signs to be reported in Saudi Arabia. We provide an overview of this rare disease entity [one of the most frequent causes of spontaneous hyphema in the pediatric age group], review the treatment plan for our patient, and describe the complications we encountered in this case
Subject(s)
Male , Glaucoma/etiology , Iris Diseases/complications , Hyphema/complications , Xanthogranuloma, Juvenile/diagnostic imagingABSTRACT
Se presenta el estudio del hipema traumático en 82 ojos con trauma cerrado (contusiones), en que relacionan los grados del mismo con la agudeza visual inicial y final, lesiones asociadas en el segmento anterior y posterior y con los estudios electrofisiológicos: electrorretinograma (ERG) y potenciales evocados visuales (PEV). Los resultados demostraron una relación directa entre los grados del hipema y la agudeza visual final con el 27 por ciento de los ojos ciegos en el grado III, un incremento en el número y gravedad de las lesiones asociadas en el hipema grado III y una respuesta electrofisiológica (ERG y PEV) deteriorada. LOs autores concluyen que el grado del hipema guarda relación directa o indirecta con el grado y la gravedad del traumatismo pudiendo considerarse como un indicador de pronóstico
Subject(s)
Humans , Eye Injuries/classification , Eye Injuries/diagnosis , Hyphema/classification , Hyphema/complications , Hyphema/diagnosis , Prognosis , Visual AcuityABSTRACT
Trata-se de um estudo prospectivo envolvendo 30 casos de hifema traumático. É discutida a evoluçäo clínica, sendo dada ênfase à análise de complicaçöes: impregnaçäo de córnea, glaucoma secundário e ressangramento. Os autores concluem que a maioria dos casos evolui satisfatoriamente, sendo que a severidade do trauma inicial e as lesöes associadas säo as determinantes do prognóstico visual. Propöem ainda um esquema de tratamento inicial mais flexível, ambulatorial. Cuidados mais intensivos säo necessários nos casos de hifemas mais volumosos, glaucoma secundário e no ressagramento. O tratamento cirúrgico se impöe apenas nos casos onde näo há sinais de reabsorçäo em 6-7 dias ou quando a PIO näo é reduzida a despeito do tratamento clínico
Subject(s)
Humans , Child , Adolescent , Adult , Follow-Up Studies , Hyphema/complications , Visual Acuity/physiology , Vision Disorders/classificationABSTRACT
The natural course, related complications and factors affecting prognosis of traumatic hyphema in 149 Thai patients were reported. Male preponderance and high prevalence of patients younger than 15 years were noted in this study. Blunt ocular trauma was the most common type of eye injury (88.59%), with penetrating injury (7.38%) and missile (4.03%) being the next in order of decreasing frequency. Duration of injury was acute in 81.88 per cent, subacute in 12.08 per cent and chronic in 6.04 per cent. Complications from secondary glaucoma accounted for 24.16 per cent, whereas, corneal blood staining and rebleeding were 10.07 and 6.71 per cent respectively. Shorter duration of injury, good initial visual acuity and absence of complications were responsible for favorable visual prognosis. However, age, grade of the initial hyphema and surgical intervention were not demonstrated to have any influence on the eventual visual outcome.
Subject(s)
Adolescent , Adult , Age Factors , Child , Child, Preschool , Eye Injuries/complications , Female , Hemorrhage/epidemiology , Humans , Hyphema/complications , Infant , Male , Middle Aged , Retrospective Studies , Sex Factors , ThailandABSTRACT
Se realiza un estudio de 200 historias clínicas de niños ingresados en el Servicio de Oftalmología Pediátrica del Hospital Provincial Docente "V. I Lenin", en el período de agosto de 1981 hasta agosto de 1986. Se analizan variables como edad, sexo, tiempo de evolución del trauma, cantidad de sangre en mm, tiempo de reabsorción de la misma, lesiones asociadas, complicaciones, secuelas, entre otras. Se realizan conclusiones
Subject(s)
Infant , Child, Preschool , Child , Adolescent , Humans , Male , Female , Contusions/complications , Eye Injuries/complications , Hyphema/complications , Retrospective StudiesABSTRACT
El estadio final del glaucoma neovascular se caracteriza en la mayoría de los casos por la presencia de un severo e intratable dolor. Se utilizó un procedimiento filtrante en 24 ojos con glaucoma neovascular terminal obteniéndose la remisión completa del dolor en todos los casos, con un seguimiento promedio de 19 meses (6-48 meses). El descenso de la presión intraocular medio fue de 25.6 mmHg. y las complicaciones intra y postoperatorias fueron el Hipema, la fuga vítrea, la atalamia y la ptisis bulbi. Se analizaron también los resultados obtenidos con la utilización de sustancias viscoelásticas. Se compararon además los resultados obtenidos con otros procedimientos