Hipema traumático en paciente con hemoglobinopatía / Trauma hyphema in a patient with hemoglobinopathy

El hipema traumático es la presencia de sangre en la cámara anterior y puede presentarse en traumas oculares a globo abierto o cerrado, así como coexistir con otras lesiones. Se presenta un paciente masculino de 52 años de edad, coloración de la piel negra, quien sufrió un trauma contuso del ojo derecho que le provocó hipema y requirió ingreso hospitalario. A pesar del tratamiento médico convencional, evolucionó desfavorablemente, ya que presentó resangrado tardío. motivados por esto le indicamos un estudio de electroforesis de hemoglobina e incorporamos un tratamiento sistémico con antifibrinolíticos. Se obtuvo resolución de la hemorragia en las primeras 48 horas de iniciar el tratamiento. Se concluye que el uso de antifibrinolíticos resulta efectivo para el tratamiento del hipema postraumático en pacientes con hemoglobinopatías(AU)

Trauma hyphema is the presence of blood in the anterior chamber and may occur in open or closed eyeball traumas as well as coexist in other lesions. This is the case of a Black male patient aged 52 years, who suffered a blunt trauma in his right eye causing hyphema and requiring hospitalization. Despite the conventional medical treatment, the recovery was unfavorable since he presented with late rebleeding. Due to the above-mentioned condition, he was performed a hemoglobin electrophoresis study and he received a systemic treatment with antifibrinolytics. Hemorrhage disappeared after 48 hours of treatment. It was concluded that the use of antifibrinolytics is effective for the treatment of post-trauma hyphema in patients with hemoglobinopathy. Key words: Hyphema; antifibrinolytics; hemoglobinopathy(AU)

Diclofenac sodium for the treatment of ocular contusion with microhyphema

In this study, the effectiveness of topical diclofenac sodium has been investigated in the treatment of microhyphema. A total of 62 patients with traumatic microhyphema were enrolled in a prospective, randomized, double-masked, placebo-controlled clinical study. Of these, 32 were given diclofenac eye drops, while 30 received a placebo. All were observed daily until there was complete recovery. One drop of diclofenac sodium or a placebo was applied four times a day. The efficacy evaluation was based on the measurement of visual acuity, slit-lamp assessment of anterior chamber cells and flare and duration of treatment. Diclofenac sodium was statistically favored over the placebo in flare and cell score. The duration of treatment of the diclofenac group was significantly shorter than the placebo group. Visual acuity of diclofenac sodium recipients was significantly better than the placebo recipients from the third to the sixth day of treatment. No statistical difference in final visual acuity was found between the two groups [P>0.05]. The research indicated that diclofenac sodium reduces microhyphema effectively and more quickly than the placebo, leading to early rehabilitation of patients following ocular contusion

Traumatismos oculares / Eye injuries

O trauma ocular ocupa lugar proeminente na infortunística médica, representando assunto vasto e destacado no estudo da oftalmologia.O presente trabalho faz uma revisao das lesoes traumáticas mais prevalentes, salientando os aspectos clínicos, propedêuticos e terapêuticos mais importantes.Enfase especial é dada aos avanços cirúrgicos que vieram modificar de forma significativa o prognóstico e a recuperaçao funcional de olhos extensamente lesados, no tratamento dos traumatismos do pólo posterior.