Majallah-i Dānishgāh-i ̒Ulūm-i Pizishkī-i Qum (Aug 2011)
Hyphema Following Eye Trauma
Abstract
Background and Objectives: Hyphema, the blood in the anterior eye chamber, can be caused by penetrating or blunt trauma or other causes. This study aimed at investigating the clinical features of 15 cases of traumatic Hyphema, having referred to ophthalmology ward of Shahid Beheshti hospital of Babol university of medical sciences.Methods: In this study the clinical characteristics of 15 patients with eye trauma-who had referred to Shahid Beheshti Hospital of Babol University of medical sciences during 2008-2009- were examined. In addition to eye trauma the selected patients had microscopic or macroscopic anterior eye chamber hemorrhages.Results: The mean age of patients was 25. 1 years. Eleven patients were male and four were female. Increased IOP was seen in 4 cases, three patients improved with drug therapy, but one patient needed surgery due to an increase in IOP and the re-bleeding. Regarding the degree of Hyphema, 4 cases were microscopic Hyphema , 2 cases were grade 1 of Hyphema, 3 cases were grade 2 of Hyphema, 3 cases were grade 3 of Hyphema , 2 cases grade 4 of Hyphema and one case was not assessable due to flattened anterior chamber, Visual Acuity was mostly poor at the beginning of admission which was significantly improved after treatment. On the whole, six patients underwent surgery.Conclusion: The results of this study show that patients with traumatic Hyphema usually have poor Visual Acuity at the beginning of admission, but the vision was relatively improved with early treatment in many cases. Therefore, proper and timely treatment is necessary in these patients.
