Pediatric traumatic hyphema: a review of 123 consecutive cases

Abstract

Aim: To report the demographics and outcomes in children (<18 years of age) who developed hyphema from ocular trauma. Introduction: Traumatic hyphema is regarded as a sign of ocular trauma requiring, in most centers, admission to hospital. It is almost invariably associated with damage to the anterior segment and frequently to the posterior segment.><18 years of age) who developed hyphema from ocular trauma. Introduction: Traumatic hyphema is regarded as a sign of ocular trauma requiring, in most centers, admission to hospital. It is almost invariably associated with damage to the anterior segment and frequently to the posterior segment. . Method: A retrospective review of the ophthalmic records of 123 consecutive patients with traumatic hyphema secondary to ocular trauma presenting to Benghazi Eye hospital between1/1/2011 and31/12/2011. . Result: total number 123 cases 97 male and 26 female. Most injury occurred in outdoor locations as school in 77 patient (62.6%).The main causative agent is stone in 39 patient (31.7%) followed by gun soft toys 23 (18.6%). A total of 37 (30%) eyes had at least one surgical intervention. While54 (43.9%) patients had visual acuity (VA) less than 6/60 at presentation, 21 (17.0%) of eyes had visual acuity (VA) < 6/60 after injury. Conclusion: most of the injuries occurred outdoor indicating lack of adult supervision, and community awareness is needed for prevention.