Traumatic Hyphema and Secondary Bleeding - ภาวะเลือดออกในช่องหน้าลูกตาและเลือดออกซ้ำ

Abstract

The retrospective analysis was conducted among 105 patients with traumatic hyphema admitted to Lopburi General Hospital during 1 October 1989 to 30 September 1993. There were 89 males (84.76%) and 16 females (15.24%). The majority of cases was 10 - 19 year (37 cases or 35.24%). The trauma occured mostly 2 - 4 days before admission (53 cases, 50.48%). In most cases, the blood level in anterior chamber was less than 1/3 of the depth (62 cases, 59.05%), and the visual acuity was less than 6/60 (67cases, 63.81%) which improved to 6/6 - 6/18 in 56 cases. Secondary bleeding was found in 8 cases (7.62%) in the first week of primary trauma. Total hyphema was observed in 17 cases (16.19%) of whom 12 cases were detected in the first visit. Surgery was performed in 17 of 20 cases of secondary bleeding. The indications for syrgery were early corneal blood stain and increased intraocular pressure.