Papaconstantinou Dimitris, Georgalas Ilias, Kourtis Nikos, Karmiris Eftimios, Koutsandrea Chrysanthi, Ladas Ioannis, Georgopoulos Gerasimos
Department of Ophthalmology, University of Athens, Athens, Greece.
Clin Ophthalmol. 2009;3:287-90. doi: 10.2147/opth.s5399. Epub 2009 Jun 2.
The present study concerns traumatic hyphemas and their prognostic factors and signs. The aim of this study is to determine the prognostic factors and signs of traumatic hyphemas.
During the last five years, 72 young individuals were hospitalized with the diagnosis of suffering a traumatic hyphema and were divided in three groups according to the extent of their hyphema. The first group concerns 38 patients with a small hyphema 3-4 mm, the second group concerns 22 patients with moderate hyphema reaching the pupillary border, and the third group concerns 12 patients with a total hyphema.
The hyphema was absorbed in 63 patients and the IOP was controlled with medical treatment after 3-24 days. However, surgical management was necessary for two patients. Finally, antiglaucomatous treatment was administered in seven patients with persistent high intraocular pressure.
The important clinical signs that determine the prognosis of such hyphemas are the size of hyphema, the blood color, recurrent hemorrhage, the absorption time, the increase of intraocular pressure, and blood staining of the cornea.
本研究关注外伤性前房积血及其预后因素和体征。本研究的目的是确定外伤性前房积血的预后因素和体征。
在过去五年中，72名年轻人因外伤性前房积血诊断入院，并根据前房积血程度分为三组。第一组包括38例前房积血3 - 4毫米的患者，第二组包括22例积血达瞳孔边缘的中度前房积血患者，第三组包括12例全前房积血患者。
63例患者前房积血吸收，3 - 24天后经药物治疗眼压得到控制。然而，有两名患者需要手术治疗。最后，对7例持续性高眼压患者进行了抗青光眼治疗。
决定此类前房积血预后的重要临床体征是前房积血的大小、血液颜色、反复出血、吸收时间、眼压升高以及角膜血染。
