Hifema traumático: seguimento de um ano

• Autor(a) principal: Rocha, Karolinne Maia [UNIFESP]
• Data de Publicação: 2004
• Outros Autores: Engel, Dinorah Piacentini [UNIFESP], Gusmão, Filipe Brandão Accioly de [UNIFESP], Martins, Elisabeth Nogueira [UNIFESP], Moraes, Nilva Simeren Bueno de [UNIFESP]
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Repositório Institucional da UNIFESP
• Texto Completo: https://dx.doi.org/10.1590/S0004-27492004000100024; https://repositorio.unifesp.br/handle/11600/2006
• topic: Eye injuries; Hyphema; Visual acuity; Prospective studies; Anterior chamber; Intraocular pressure; Follow-up studies; Traumatismos oculares; Hifema; Acuidade visual; Estudos prospectivos; Câmara anterior; Pressão intra-ocular; Seguimentos

PURPOSE: To evaluate the evolution of the patients with hyphema resulting from blunt ocular trauma associated with initial and final visual acuity, elevated intraocular pressure, rebleeding, clot absorption and surgical intervention. METHODS: Fifty-four patients aged more than fifteen years, with blunt ocular trauma attended on the Ophthalmology Emergency Room of São Paulo Hospital were studied, between December 2000 to January 2002. The hyphema was classified in to five groups: microscopic; grade I; grade II; grade III; and grade IV (total hyphema). The patients were divided into two groups according to the involvement or not of the posterior segment. The data were compared by Mann-Whitney and the exact Fisher test and the final visual acuity was evaluated by multiple linear regression. RESULTS: Ninety-one percent of the patients were men with an average age of thirty two years. At admission, 37% of patients showed intraocular pressure more than 24 mmHg. During the evolution, six patients required surgical intervention. Rebleeding occurred in 8% of the cases. In Group 1 (no lesions in the posterior segment) a better finally V.A. was statistically significant (p<0.001), a fact not observed in Group 2 (p<0.4772). CONCLUSIONS: Hyphema classification allows to evaluate the severity of damages, prognosis and management. The treatment still remains controversial. The final low visual acuity occurs more commonly associated with posterior segment injuries, and V.A. on admission. The successful treatment depends on identification of risk factors, appropriate medications and precise surgery indication.