Visual acuity recovery following traumatic hyphema in a pediatric population

Boese, Erin A.; Karr, Daniel J.; Chiang, Michael F.; Kopplin, Laura J.

doi:10.1016/j.jaapos.2017.11.004

Cited by 13 publications

(22 citation statements)

References 9 publications

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“…Acutely elevated IOP and angle recession were common complications in our study cohort. Postinjury IOP elevation >21 mm Hg was noted in approximately 50% of our study patients, slightly higher than that reported in a similar population,7 11 and IOP typically peaked within 2 weeks of injury. Although several patients required surgery, most surgeries were not directly related to their hyphaema.…”

Section: Discussioncontrasting

confidence: 70%

“…Closed-globe traumatic hyphaema in children has a favourable visual prognosis 7. Although the great majority of patients (83%) in our study had a final visual acuity of 0.30 logMAR (20/40) or better, a minority (17%) fared more poorly.…”

Section: Discussionmentioning

confidence: 50%

“…Although paediatric traumatic hyphaema can have a good visual prognosis,7 complications including rebleeding, amblyopia, elevated intraocular pressure (IOP) and secondary glaucoma can lead to visual impairment or blindness 5 6 8 9. Despite its relatively high prevalence in childhood and the potential for serious complications, few studies have specifically examined paediatric traumatic hyphaema.…”

Section: Introductionmentioning

confidence: 99%

“…Despite its relatively high prevalence in childhood and the potential for serious complications, few studies have specifically examined paediatric traumatic hyphaema. Furthermore, the existing literature on the topic has limited long-term follow-up, reports few visual outcomes and lacks gonioscopic data on angle recession—a key risk factor for secondary glaucoma 7 10 11…”

Section: Introductionmentioning

confidence: 99%

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Traumatic hyphaema in children: a retrospective and prospective study of outcomes at an Australian paediatric centre

et al. 2019

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ObjectiveThis study aims to evaluate the presenting characteristics, management, outcomes and complications for paediatric traumatic hyphaema in Western Australia.Methods and AnalysisA retrospective review of medical records was conducted for consecutive patients ≤16 years of age admitted for traumatic hyphaema to Princess Margaret Hospital for Children (Perth, Australia) between January 2002 and December 2013 (n=82). From this sample, a cohort whose injury occurred ≥5 years prior attended a prospective ocular examination (n=16). Hospital records were reviewed for patient demographics, injury details, management, visual outcomes and complications. The prospective cohort underwent examination for visual and structural outcomes.ResultsMost injuries (72%) resulted from projectile objects. Angle recession was present in 53% and was associated with projectiles (p=0.002). Most eyes (81%) achieved a final visual acuity of 0.3 logarithm of the minimum angle of resolution (logMAR) (20/40) or better. Age ≤5 years and posterior segment injury were significant predictors of final visual acuity poorer than 0.3 logMAR. At ≥5 years post-trauma, injured eyes had greater intraocular pressure (IOP) (p=0.024) and anterior chamber depth (ACD) (p=0.022) compared with sound eyes. IOP asymmetry was associated with angle recession (p=0.008) and ACD asymmetry (p=0.012).ConclusionPoorer visual outcomes are associated with younger age at injury and posterior segment injury. Angle recession and ACD asymmetry are associated with IOP asymmetry 5–12 years after injury.

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Section: Discussioncontrasting

confidence: 70%

Section: Discussionmentioning

confidence: 50%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Traumatic hyphaema in children: a retrospective and prospective study of outcomes at an Australian paediatric centre

et al. 2019

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“…5 To prevent the complications of the hyphema, frequent follow-up visits to the ophthalmologist are necessary during the subsequent weeks. 6 As trauma during sports is the major cause of…”

Section: What Is the Diagnosis?mentioning

confidence: 99%