RESUMO
A 71-year-old woman presented with spontaneous microhyphema in her left eye, causing blurry vision. Bleeding stopped spontaneously shortly after several cycles of digital compression on the upper eyelid, (which were documented in video), and therefore, did not require laser photocoagulation, a possible approach previously explained to the patient. A microhemangioma at the edge of the iris was identified to be the cause of the condition. The hemorrhage did not recur during the follow-up period (9 months).
Assuntos
Hemangioma Capilar/complicações , Hifema/etiologia , Neoplasias da Íris/complicações , Iris/irrigação sanguínea , Idoso , Documentação , Feminino , Humanos , Hifema/terapia , Gravação em VídeoRESUMO
Fifty-three (53) patients who sustained hyphaema after blunt trauma were admitted, treated and followed up in the Eye Department, at the Queen Elizabeth Hospital, Barbados. Many forms of treatment are used for patients with traumatic hyphaema. These range from no medication to mydriatics, miotics, tropical and systemic corticosteroids and systemic aminocaproic acid. Several studies in the past suggest that both aminocaproic acid and systemic steroids were successful in reducing the incidence of rebleeding. However, the rate of rebleeding is so variable that controversy exists about the necessity of treatment. In this study, all patients were treated with topical corticosteroids, no mydriatics and strict bed rest. Seven per cent (7.5 percent) of the patients experienced rebleeding; however, rebleeding was not a determining factor related to the final outcome of visual acuity. The adverse reactions of aminocaproic acid and systemic steroids greatly outweigh the benefits of their usefulness in reducing the incidence of rebleeding in our situation. The treatment regime consists of strict bed rest, topical corticosteroids (to treat the masked Iritis) and no mydriatics (to prevent further aggravation of sphincter damage). Raised intraocular pressure is a major concern following traumatic hyphaema and requires early recognition and prompt management (AU)
Assuntos
Humanos , Hifema/terapia , BarbadosAssuntos
Criança , Humanos , Masculino , Feminino , Traumatismos Oculares/patologia , Hifema/terapiaRESUMO
Se presentan los resultados de un estudio clinicoestadístico de una serie de 80 pacientes hospitalizados en nuestro servicio con el diagnóstico de hifema traumático e integridad del globo ocular, en el período comprendido entre enero de 1983 y diciembre de 1987. La mayor incidencia de hifema traumático ocurrió en pacientes jóvenes con edades inferiores a los 26 años, con amplio predominio del sexo masculino; en el 50 % de los enfermos trabajadores, la lesión ocular fue producida por un accidente de trabajo. Se reconocieron lesiones traumáticas asociadas en el 85 % de los casos. El 10 % de los hifemas fueron totales, y se encontró una relación positiva entre el tiempo de resolución del hifema y su volumen. Finalmente, en relación con los resultados terapéuticos, se destaca como aspecto positivo los índices satisfactorios de recuperación visual y es significativo el tanto de enfermos (66,6 %) que recuperaron la normalidad de la visión