Management of non-penetrating traumatic hyphema in ophthalmology department of HMC. Review of 83 cases

ABSTRACT

To review the management strategy of non-penetrating traumatic hyphema in ophthalmology department of HMC [Hamad Medical Corporation] and compare it with other international approaches. This is a retrospective study for evaluating the management of non-penetrating traumatic hyphema in the Ophthalmology Department of Hamad Medical Corporation. Records of 83 patients over the period between January 1999 and May 2003 were studied for various criteria including demographic factors; causes; severity and type of hyphema; visual and intraocular pressure outcome; and application and outcome of medical and surgical treatment. Patients' criteria and treatment policy was compared with other studies.Visual acuity as defined according to the WHO system. Total of 83 patients; 76% males and 24% females, their average age was 24.4 years. The majority had hyphema due to work trauma 45.8%, 76% recovered 6/12 or better vision within one month, 14% developed glaucoma, 2.4% complicated by corneal blood staining. Mydriatics were used in 65%, 5% had rebleeding. All the patients were treated as inpatients, only one case required surgical intervention for uncontrolled IOP and early corneal staining. Dependent on the findings of our study and other studies, we rationalized alterations to be concerned according to Qatar locality, however, the general outcome of traumatic hyphema in our department was not bad