G W S Simanjuntak1, G Farinthska2, G A M Simanjuntak2, W Artini3, R Natali2. 1. Department of Ophthalmology, Faculty of Medicine, Christian University of Indonesia; Cikini CCI Hospital, Cikini Eye Institute, Jakarta, Indonesia. 2. Department of Ophthalmology, Faculty of Medicine, Christian University of Indonesia, Jakarta, Indonesia. 3. Department of Ophthalmology, Faculty of Medicine, University of Indonesia, Jakarta, Indonesia.
Abstract
OBJECTIVE: : To report the risk factors for poor visual outcome in traumatic hyphema. MATERIALS AND METHODS: A retrospective study was done by collecting data from medical records between January 2011 and December 2015 in Jakarta, Indonesia. Clinical data included initial visual acuity (IVA), final VA at 3 months, slit lamp evaluation with grading of hyphema, intraocular pressure, and fundus findings on direct or indirect ophthalmoscopy. RESULTS: The study included 97 patients, with males showing a preponderance, the ratio being 9:1. Soft gun pellet was the most common cause (27.8%), others being workplace injuries (12.4%), sports injury (14.4%), traffic accident (2.1%), and other injuries (43.3%). Poor visual outcome was due to vitreous hemorrhage, cataract, iridodialysis, and choroidal rupture. On statistical analysis, significant risk factors were causality (P = 0.018), IVA (P = 0.026), onset of injury (0.000), and grade of hyphema (P = 0.000). CONCLUSION: Grade of hyphema, IVA, causality, and onset of injury were significant risk factors related to poor visual outcome in traumatic hyphema.
OBJECTIVE: : To report the risk factors for poor visual outcome in traumatic hyphema. MATERIALS AND METHODS: A retrospective study was done by collecting data from medical records between January 2011 and December 2015 in Jakarta, Indonesia. Clinical data included initial visual acuity (IVA), final VA at 3 months, slit lamp evaluation with grading of hyphema, intraocular pressure, and fundus findings on direct or indirect ophthalmoscopy. RESULTS: The study included 97 patients, with males showing a preponderance, the ratio being 9:1. Soft gun pellet was the most common cause (27.8%), others being workplace injuries (12.4%), sports injury (14.4%), traffic accident (2.1%), and other injuries (43.3%). Poor visual outcome was due to vitreous hemorrhage, cataract, iridodialysis, and choroidal rupture. On statistical analysis, significant risk factors were causality (P = 0.018), IVA (P = 0.026), onset of injury (0.000), and grade of hyphema (P = 0.000). CONCLUSION: Grade of hyphema, IVA, causality, and onset of injury were significant risk factors related to poor visual outcome in traumatic hyphema.
Entities:
Keywords:
Cause of injury; hyphema; intraocular pressure; paracentesis; risk factor
Authors: Virgilio Galvis; Angelica Pedraza-Concha; Alejandro Tello; M Lina Plata; C Luis Escaf; D Ruben Berrospi Journal: Rom J Ophthalmol Date: 2020 Jan-Mar