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  • Title: [Traumatic hyphema caused by contusion in Zaire].
    Author: Kaimbo DK, Muleya JI, Lubeji DK.
    Journal: J Fr Ophtalmol; 1995; 18(2):114-9. PubMed ID: 7738302.
    Abstract:
    PURPOSE: To study the clinical characteristics of hyphema. METHODS: Records of all 57 consecutive patients with traumatic hyphema due to non perforating ocular injury seen during a ten-year period (from 1982 to 1991) were reviewed. All patients were outpatients and were treated with topical application of corticosteroids with or without topical application of 0.5 or 1% atropine sulfate and antibiotics. For an intraocular pressure greater than 24 mmHg, topical timolol maleate 0.5% and, if necessary, oral acetazolamide sodium were used. RESULTS: There were 49 (86%) male and 8 (14%) female for sex ratio of 6:1. The average age of patients was 20.2 years (range, 2 to 61 years). Blows were responsible for injury in 53%; projectiles for 30% and explosions for 7% of all hyphemas. The most common associated injuries to the eye included cornea edema (40%), cataract (36%) and mydriasis (26%). Posterior synechiae (25%) and blood staining of the cornea (22%) were the most frequent complications that occurred. Secondary haemorrhage occurred in 7% of the cases. CONCLUSIONS: Heavily pigmented eye, proptosis, paucity of facilities for care may be responsible of the high rate of complications.
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