- 作者：Jeffrey R. SooHoo ; Brett W. Davies ; Rebecca S. Braverman ; Robert W. Enzenauer ; Emily A. McCourt
- 刊名：Journal of American Association for Pediatric Ophthalmology and Strabismus
- 出版年：December, 2013
- 年：2013
- 卷：17
- 期：6
- 页码：565-567
- 全文大小：71 K
ass="h4">Purpose
To report the demographics and outcomes in children (<18聽years of age) who developed hyphema from ocular trauma and were subsequently cared for at a tertiary medical center.ass="h4">Methods
The medical records of consecutive patients seen at Children's Hospital Colorado diagnosed with traumatic hyphema between September 1, 2003, and December 31, 2011, were retrospectively reviewed. The following data were recorded: patient age, parent/guardian-reported ethnicity, sex, injury location, visual acuity, and intraocular pressure (IOP) at presentation and follow-up.
ass="h4">Results
A total of 138 cases of unilateral hyphema were included, with 88% occurring in boys (mean age, 10.1聽years; range, 1-19). Over 90% of injuries occurred in the home setting, with the most common mechanisms of injury being general play, projectiles from guns, and sports injuries occurring during games or practice. Only 3 patients had visual acuity <20/40 at 1聽month's follow-up, and no patient experienced a rebleeding event. Most of the 33 patients with elevated IOP were managed medically; 4 (12%) required surgery.
ass="h4">Conclusions
The majority of children with traumatic hyphema in this patient cohort were injured in the home setting. Very few patients underwent surgery for ocular hypertension, but higher IOP at presentation was associated with the need for surgical intervention. Outpatient care with activity restriction and topical medications usually led to resolution of hyphema without serious complications or visual loss.