Acute panuveitis with haemorrhagic hypopyon as a presenting feature of acquired immunodeficiency syndrome (AIDS).

Anterior uveitis is a known clinical entity in herpes zoster ophthalmicus associated with AIDS. However, reports of acute haemorrhagic hypopyon uveitis in such cases are lacking. Herein we describe a young male patient presenting with acute panuveitis with haemorrhagic hypopyon, who was found HIV positive on investigation.

Etude clinique et epidemiologique des hyphemas post contusifs a propos de 389 cas

A retrospective study was made of 389 cases of hyphema due to non perforating ocular injury seen during a six year period [from 1990 to 1996], in order to determine clinical aspect and epidemiology of hyphema. There were 300 outpatients and 89 inpatients, the average age of patients was 19 years and there were 342 males and 47 females for sex-ratio of 7.3/1. the grade 1 of hyphema was the most common and cornea was the most affected part in this condition. The prognosis depends on association such as retinal detachement and secondary hemorrhage. Medical treatment was given to all patients, but surgery was indicated only in cases with persistant hyphema or ocular high pressure

Reversible no light perception in patients with hyphema

One hundred cases of hyphema were studied from 1989-91. Seventy-six% of patients were under 20 years of age. Trauma was the prevalent cause of hyphema [94%]. 42% of the patients had intraocular pressure above 21 mm Hg. Along with hyphema, we observed vitreous hemorrhage [32%], corneal laceration [20%], macular edema [16%], traumatic lens opacity [12%], conjunctival laceration [8%], retinal detachment [RD] [5%], optic atrophy [5%] and scleral laceration [2%]. 62% of patients had a visual acuity between light [LP] and hand motion [HM] and 8% were no light perception [NLP] and had +4 reverse Marcus-Gunn [MG]. Two NLP patients whose intraocular pressure [IOP] could not be controlled with medical treatment underwent anterior chamber washout procedure. As a result of this, they gained visual acuity [VA] of 4/10-6/10 and their reverse MG was resolved. No significant complications such as vitreous hemorrhage or lens opacity were observed. Since hyphema alone can cause NLP and reverse MG, we suppose that all NLP patients with hyphema whose IOP are not under control with full medical treatment can be a candidate for the above mentioned surgical procedure

Pronóstico visual en el hipema traumático / Visual prognosis in traumatic hypema

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