ABSTRACT
Se realizó un estudio descriptivo, retrospectivo y longitudinal de 34 pacientes con hifema ocasionado por trauma, ingresados en el Servicio de Oftalmología Hospital General Docente "Dr. Juan Bruno Zayas Alfonso" de Santiago de Cuba, de enero a diciembre de 2013, con vistas a caracterizarles según algunas variables clinicoepidemiológicas. En la serie se observó un predominio del sexo masculino (64,7 %) y el grupo etario de 40-49 años (32,4 %); en tanto, el hifema de grado I fue el más representativo clínicamente (41,2 %), producido por traumas contusos en la mayoría de los afectados (76,5 %), y las complicaciones más frecuentes fueron la hipertensión ocular (23,5 %) y la uveítis (17,6 %). No obstante, el tratamiento adecuado y oportuno permitió que el mayor porcentaje de los pacientes mejoraran la agudeza visual.
A descriptive, retrospective and longitudinal study of 34 patients with hyphema caused by trauma, admitted in the Ophthalmology Service of "Dr. Juan Bruno Zayas Alfonso" Teaching General Hospital in Santiago de Cuba was carried out from January to December, 2013, aimed at characterizing them according to some clinical and epidemiological variables. A prevalence of the male sex was observed in the series (64.7%) and the age group 40-49 (32.4%); while, the degree I hyphema was clinically the most representative (41.2%), caused by contusion traumas in most of the affected ones (76.5%), and the most frequent complications were the ocular hypertension (23.5%) and uveitis (17.6%). However, the appropriate and opportune treatment allowed that the highest percentage of the patients improved the visual acuity.
Subject(s)
Hyphema , Hyphema/epidemiology , Uveitis , Visual Acuity , Eye Injuries, Penetrating , Ocular HypertensionABSTRACT
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
Our material of study includes 100 hyphema cases, seen at the service of Ophtalmology A of Rabat in a 5 year period, from 1990 to 1995 The average age in our series is 19 with sex ratio of 3,7. The traumatic hypherna results from fighting and playing [43% and 40% respectively]. The occupational injuries are less frequent [only 5% of cases]. The hyphema resorption was noted in most of the cases [90%] and acuity of vision is below 1/10 in 73% of cases at the first examination. As for the associated lesions, we noted a clear prevalence of corneal erosions [25%] and Berlin's oedema [34%]. The bemated complications, the most frequently found to be present are the ocular hypertonia [4 cases]. The secondary hemorrhage occcured to 2 patients. The frequency of these complications dictates a permanent systematic observation of the patients
Subject(s)
Humans , Male , Female , Eye Injuries/complications , Hyphema/epidemiology , Contusions/complications , Wounds and InjuriesABSTRACT
Se presentan los resultados de un estudio clinicoestadístico de una serie de 80 pacientes hospitalizados en nuestro servicio con el diagnóstico de hifema traumático e integridad del globo ocular, en el período comprendido entre enero de 1983 y diciembre de 1987. La mayor incidencia de hifema traumático ocurrió en pacientes jóvenes con edades inferiores a los 26 años, con amplio predominio del sexo masculino; en el 50 % de los enfermos trabajadores, la lesión ocular fue producida por un accidente de trabajo. Se reconocieron lesiones traumáticas asociadas en el 85 % de los casos. El 10 % de los hifemas fueron totales, y se encontró una relación positiva entre el tiempo de resolución del hifema y su volumen. Finalmente, en relación con los resultados terapéuticos, se destaca como aspecto positivo los índices satisfactorios de recuperación visual y es significativo el tanto de enfermos (66,6 %) que recuperaron la normalidad de la visión
Subject(s)
Child, Preschool , Child , Adolescent , Adult , Middle Aged , Humans , Male , Female , Hyphema/epidemiology , Hyphema/prevention & control , Hyphema/therapyABSTRACT
Se realizó un estudio retrospectivo de egresos hospitalarios por hifema traumático durante 1988 ocurridos en la Asistencia Pública de Santiago. Se analizaron algunas características epidemiológicas y evolución clínica. Se registraron 158 egresos, el 84,2% correspondió al sexo masculino, predominando como grupo etario los menores de 18 años con un 53,7%. El 79,8% fueron hifemas menores de un tercio de cámara, y el 94,3% del total fueron catalogados como primarios al momento del ingreso. Predominaron los causados por proyectiles. Un 79,1% evolucionó sin complicaciones, se observó un 3,8% de resangramiento y sólo un 3,2% requirió de tratamiento quirúrgico. Desarrollaron complicaciones más frecuentes aquellos pacientes menores de 5 años de edad, con latencia de hospitalización mayor, con hifemas mayores de media cámara e hifemas secundarios