Contusion hyphema 106 Cases.docVIP

 PAGE \* MERGEFORMAT 5 Contusion hyphema 106 Cases [Keywords:] contusion hyphema Prevalent in the eye contusion hyphema, secondary glaucoma can occur, corneal complications such as blood-stained, improper handling can cause serious damage to visual function. Our hospital in February 2003 ~ August 2006 treated 106 cases of traumatic hyphema , are reported as follows. 1 Materials and Methods 1.1 General information on 106 patients in this group 95 cases were male and 11 female. In 61 cases the right eye, left eye, 45 cases were unilateral. Aged 5 to 81 years, average 31.5 years old, 18 to 35 years in 79 cases, accounting for 74.53 %. The causes of injury to a fist injury, bullet wounds, stick injury, injuring as many firecrackers. hyphema 99 cases of primary, secondary anterior chamber hemorrhage in 7 cases. anterior chamber bleeding: level (less than chamber 1 / 3 in 55 cases, level (accounting for chamber 1 / 3 to 1 / 34 cases 2, grade (greater than chamber 1 / 2 in 17 cases. complication: secondary glaucoma in 28 cases, 2 cases of corneal bloodshed. 1.2 The treatment of both eyes bandaged, semi-supine rest, give the appropriate hemostatic, such as blood safety network, such as legislation to stop bleeding, systemic and topical corticosteroids. Mannitol given to secondary glaucoma, timolol, acetazolamide, etc. drugs, if the anterior chamber 1 week after the hemorrhage and blood clots are still large persistent high intraocular pressure anterior chamber puncture. 2 Results Grade hyphema absorption time 2 to 7 days, on average 2.8 days, grade absorption time 4 to 10 days, on average 8.1 days, grade absorb 5 to 14 days, an average of 9.3 days .28 25 cases of patients with secondary glaucoma by mannitol, timolol, acetazolamide and other drug treatment returned to normal intraocular pressure, anterior chamber puncture in 3 cases after the intraocular pressure to normal. visual recovery: more than 0.8 accounted for 68.88% in 73 cases, 0.4 ~