Outpatient management of traumatic hyphema in children: Prospective evaluation

Outpatient management of traumatic hyphema in children: Prospective evaluation

Autor Rocha, K. M. Google Scholar
Martins, E. N. Google Scholar
Melo, LAS Google Scholar
Moraes, NSB de Google Scholar
Instituição Universidade Federal de São Paulo (UNIFESP)
Resumo Purpose: To evaluate the clinical outcome of children with traumatic hyphema treated on an outpatient basis.Methods. A prospective cases series. Thirty-five children with traumatic hyphema were treated as outpatients for the ocular injury from February 2002 to February 2003. Data regarding initial and final visual acuity, slit-lamp biomicroscopy, hyphema size,ophthalmoscopy, intraocular pressure, rebleeding, clearance time, and medical and surgical intervention were recorded.Results: Thirty (85.7%) children were male, and the major cause of traumatic hyphema was domestic tools (14 cases, 40.0%). Twenty-four patients (68.6%) presented low grades of hyphema. Seventeen patients (48.6%) had intraocular pressures higher than 24 mm Hg. the most common lesions associated with traumatic hyphema were corneal injuries (16 cases, 45.7%). the median final visual acuity was 20/25. Unsatisfactory final visual acuity (worse than 20/30) was statistically associated with ocular posterior segment lesions (P = 0.009) and grade of hyphema (P = 0.004). the grade of hyphema was also related to intraocular hypertension (P = 0.018) and time for hemorrhage absorption (P < 0.001). Nine patients (25.7%) underwent surgical intervention. Rebleeding occurred in three patients (8.6%).Conclusions. Outpatient management is a feasible option for children with hyphema. Associated posterior ocular segment injuries and hyphema of greater magnitude were related to the worst final visual acuities.
Idioma Inglês
Data 2004-08-01
Publicado em Journal of Aapos. St Louis: Mosby, Inc, v. 8, n. 4, p. 357-361, 2004.
ISSN 1091-8531 (Sherpa/Romeo, fator de impacto)
Editor Mosby, Inc
Extensão 357-361
Fonte http://dx.doi.org/10.1016/j.jaapos.2004.04.001
Direito de acesso Acesso restrito
Tipo Artigo
Web of Science WOS:000223355600011
URI http://repositorio.unifesp.br/handle/11600/27855

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