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NR 4-6/2005
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Krwawienia do komory
przedniej oka jako następstwo urazów mechanicznych gałki ocznej
Traumatic hyphaema caused by
eye injuries
Lucyna Łuksza, Magdalena Homziuk, Marta
Nowakowska-Klimek, Leopold Glasner, Barbara
Iwaszkiewicz-Bilikiewicz
Z Katedry i Kliniki Chorób Oczu Akademii Medycznej w Gdańsku
Kierownik: prof. dr hab. n. med. Barbara
Iwaszkiewicz-Bilikiewicz |
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| Summary: |
Hyphaema is a common
consequence of mechanical ocular trauma. Blood in the
anterior chamber (hyphaema) can occur after blunt or
lacerating trauma. Traumatic hyphaema is a diagnostic
and therapeutic emergency. Major complications of
hyphaema include secondary hemorrhage, secondary
glaucoma, corneal staining and disturbances in visual
acuity. The aim of our study was the retrospective
analysis of patients with posttraumatic hyphaema.
According to a prospective protocol we studied 428
patients who were examined and treated at the Emergency
Department of Department of Ophthalmology Medical
University of Gdansk between 1998-2004 years (ears).
Data obtained included age and sex. 81% of patients were
man, 19% of patients were women. Mean age of patients
with ocular hyphaema 6-72 years. We determined initial
and final visual acuities (isual acuity – distance
Snellen acuity test), intraocular pressure measurement,
biomicroscopy, fundus indirect ophthalmology, gonioscopy
and US- examinations (sometimes). Data obtained also
were: slitlamp examinations for hyphaema size, hyphaema
grading and corneal clarity. Most hyphaemas were small,
occupying less than one- third of the volume of the
anterior chamber. The most common associated injuries to
the eye hyphaema included corneal oedema, glaucoma (secondary
glaucoma), cataract and mydriasis. Traumatic hyphaema is
therapeutic emergency. More preventive efforts (hospitalization)
were necessary, especially for children. In our study we
observed 89% patients with traumatic hyphaema due to non
– penetrating eye injury. The assault were responsible
for hyphaema in 30.1% of cases and traffic accidents in
38.7% of all hyphaemas. Treatment of the hyphaema is
generally topical. Outcome is good (in more cases), if
medical treatment was quickly instituted. Surgical
treatment must be reserved for a special cases, but it
needs more further investigations. |
| Słowa kluczowe: |
krwawienie do komory
przedniej, urazy oczu. |
| Key words: |
hyphaema, ocular trauma. |
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