Factors Affecting The Visual Outcome In Hyphema Management In Guinness Eye Center Onitsha

Abstract

This study aims of determining the complications, outcome of hyphema treatment and recommendways of enhancing good visual outcome. The records of all cases of hyphema seen from 1 January 2001 to 31 December 2005were reviewed
retrospectively. The variables analyzed were the biodata of all the patients, the agents causing hyphema, associated injuries and complications. Visual acuity at presentation, discharge and last visitwas analyzed. Seventy four patients that had hyphema were reviewed. The male: female ratio was 3.5:1. Trauma was predominantly main cause of hyphema. The common agents of injury include whip (23.2%) and fist (18.8%). The common complications were secondary glaucoma (52.5%), corneal siderosis (30.0%) and
rebleeding (10%). Visual outcome is related to time of presentation, complications and treatment. Significant improvementwas achieved following treatment. Hyphema is a common complication of eye injuries. It is commonly associated with other eye
injuries like vitreous haemorrhage and cataract. Common complications include secondary glaucoma, corneal siderosis and rebleeding. Visual outcome is dependent on time of presentation, severity and nature of complications. Visual outcome can be improved by early presentation and detection of complications and appropriate treatment.

Keywords: VisualOutcome,Hyphaema,Management.

Nigerian Journal of Clinical Practice Vol. 11 (4) 2008: pp. 364-367