Hyphema as a complication of blunt ocular trauma and additional ocular findings/Kunt goz travmasi sonrasinda gelisen hifemaya eslik eden okuler bulgular
Objectives: To investigate the frequency of angle recession, commotio retinae, and other ocular findings in patients with hyphema due to blunt ocular trauma. Materials and Methods: The medical records of 66 patients hospitalized between July 2010 and May 2012 with a diagnosis of traumatic hyphema we...
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| Veröffentlicht in: | Turk oftalmoloji gazetesi 2014-01, Vol.44 (1), p.19 |
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| description | Objectives: To investigate the frequency of angle recession, commotio retinae, and other ocular findings in patients with hyphema due to blunt ocular trauma. Materials and Methods: The medical records of 66 patients hospitalized between July 2010 and May 2012 with a diagnosis of traumatic hyphema were retrospectively reviewed. The age, gender, period between injury and the first examination, visual acuity at presentation, intraocular pressure (IOP), time of disappearance of hyphema, cause of blunt injury, additional ocular findings, medical and/or surgical treatment, follow-up time, and visual outcome were noted. Results: The mean age of the patients was 23.8 ± 19.2 years. Males constituted the 83.3% of the whole group. Game-related injury (43.9%) and work-related injury (22.7%) were the most common causes of blunt trauma. The bead gun was the most common tool involved in injury. Angle recession was detected in 36 patients (54.5%). Development of secondary glaucoma was higher in the patients with angle recession (chi-square test, p |
| doi_str_mv | 10.4274/tjo.50480 |
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| fullrecord | <record><control><sourceid>gale</sourceid><recordid>TN_cdi_gale_infotracmisc_A414824397</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A414824397</galeid><sourcerecordid>A414824397</sourcerecordid><originalsourceid>FETCH-LOGICAL-g987-81bbc95ebd6b0017ad67def99666c0916d0faf398aff76d427e9c724a6896db73</originalsourceid><addsrcrecordid>eNptkE1LAzEQhnNQsNQe_AcBwVvb7FeyOZaiVix46b3M5mM3bTYpm12h_hJ_rllUqODMYWDmed8ZBqG7hCzylOXL_uAXBclLcoUmSUbInNCC36BZCAcSo0hLRosJ-tycT41qAUPAgIVvT9YI6I132Gtc2cH12IvBQof7DoYRdBKDlGZkwP4OtXHSuDosX0dF7T9G_L2FYHDwrovVScC1siYohxuj484zYBWsOWIlY88fB6s6XA22Hh1v0bUGG9Tsp07R7ulxt97Mt2_PL-vVdl7zks3LpKoEL1QlaUVIwkBSJpXmnFIqCE-oJBp0xkvQmlEZP6O4YGkOtORUViybovtv2xqs2hunfbxbtCaI_SpP8jLNMz5Si3-omFK1RnintIn9P4KHC0GjwPZN8HYYnxYuwS_0HocT</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype></control><display><type>article</type><title>Hyphema as a complication of blunt ocular trauma and additional ocular findings/Kunt goz travmasi sonrasinda gelisen hifemaya eslik eden okuler bulgular</title><source>DOAJ Directory of Open Access Journals</source><source>EZB-FREE-00999 freely available EZB journals</source><creator>Ersoz, Mehmet Giray ; Adiyeke, Seda ; Ture, Gamze ; Talay, Ekrem ; Konya, Hakki Ozgur</creator><creatorcontrib>Ersoz, Mehmet Giray ; Adiyeke, Seda ; Ture, Gamze ; Talay, Ekrem ; Konya, Hakki Ozgur</creatorcontrib><description>Objectives: To investigate the frequency of angle recession, commotio retinae, and other ocular findings in patients with hyphema due to blunt ocular trauma. Materials and Methods: The medical records of 66 patients hospitalized between July 2010 and May 2012 with a diagnosis of traumatic hyphema were retrospectively reviewed. The age, gender, period between injury and the first examination, visual acuity at presentation, intraocular pressure (IOP), time of disappearance of hyphema, cause of blunt injury, additional ocular findings, medical and/or surgical treatment, follow-up time, and visual outcome were noted. Results: The mean age of the patients was 23.8 ± 19.2 years. Males constituted the 83.3% of the whole group. Game-related injury (43.9%) and work-related injury (22.7%) were the most common causes of blunt trauma. The bead gun was the most common tool involved in injury. Angle recession was detected in 36 patients (54.5%). Development of secondary glaucoma was higher in the patients with angle recession (chi-square test, p<0.05). Commotio retinae was observed in 47% of patients. The mean visual acuity at presentation was 0.4 ± 0.3, while at the last visit, it was 0.8 ± 0.3. There was a statistically significant difference between baseline and final visual acuity (paired-samples t-test, p<0.001). Conclusion: Hyphema due to blunt ocular trauma is observed mostly in young men and children. The most common blunt ocular injuries are game-and work-related. Angle recession and commotio retinae are the main complications of blunt ocular trauma causing hyphema. In cases with blunt ocular trauma, the presence of hyphema makes it difficult to examine the anterior chamber angle and the fundus. It is important to perform these investigations at the earliest stage to manage the complications since commotio retinae and angle recession accompany many cases with hyphema. (Turk J Ophthalmol 2014; 44:19-22) Key Words: Angle recession, Berlin's edema, blunt ocular trauma, commotio retinae, traumatic hyphema Amac: Kunt goz travmasi sonrasi hifema gelisen hastalarda aci resesyonu, kommosyo retina sikligini ve eslik eden diger okuler bulgulari arastirmak. Gerec ve Yontem: Temmuz 2010-Mayis 2012 tarihleri arasinda klinigimizde travmatik hifema tanisi ile takip ettigimiz 66 hastanin dosyalari retrospektif olarak incelendi. Olgularin demografik verilerinin yani sira travma turu-aleti, travma sonrasi basvuru sureleri, hifema duzeyleri, hifema cekilme suresi, ilk ve son gorme keskinlikleri, goz ici basinclari, eslik eden okuler bulgular, uygulanan tibbi ve/veya cerrahi tedavi ve takip suresi kaydedildi. Bulgular: Hastalarin yas ortalamasi 23,8 ± 19,2 yil idi. Elli bes hasta (%83,3) erkek, 11 hasta (%16,7) kadindi. En sik travma sekilleri oyun kazasi (%43,9), is kazasi (%22,7) ve ev kazasi (18,2) olarak bulundu. Travmaya neden olan cisimler icinde en sik boncuk tabancasi mermisi (%22,7), metal cisimler (%18,2) ve tas (%13,6) yer almaktaydi. Gonioskopik incelemede 36 olguda (%54,5) farkli derecelerde aci resesyonu belirlendi. Aci resesyonu olan hastalarda sekonder glokom gelisimi anlamli olarak yuksek bulundu (Chi-Square testi, p<0,05). Kommosyo retina 31 hastada (%47) mevcuttu; on olguda (%15,2) makula tutulumu (Berlin odemi) tespit edildi. Hastalarin basvuru anindaki gorme keskinligi ortalamasi 0,4 ± 0,3 iken izlem sonundaki gorme keskinligi ortalamasi 0,8 ± 0,3 idi. Hastalarin ilk ve son gorme keskinlikleri arasindaki fark anlamli bulundu (Paired-Samples T testi, p<0,001). Sonuc: Travmatik hifema genc erkekler ve cocuklarda daha sik gorulur. Kunt goz travmasina sekonder gelisen hifemanin en sik sebepleri oyun ve is kazalaridir. Kunt goz travmasi ile basvuran hastalarda hifema varligi ilk gunlerde gonioskopi, fundus bakisini zorlastirmakta ve aci resesyonu, kommosyo retina gibi komplikasyonlarin saptanmasina engel olmaktadir. Calismamizda aci resesyonu bulunan hastalarda sekonder glokom gelisme riskinin daha yuksek oldugu gorulmustur. Komplikasyonlara zamaninda mudahale edebilmek icin hifema seviyesi elverisli oldugunda detayli oftalmolojik muayene yapilmasi gerekmektedir. (Turk J Ophthalmol 2014; 44: 19-22) Anahtar Kelimeler: Aci resesyonu, Berlin odemi, kommosyo retina, kunt goz travmasi, travmatik hifema</description><identifier>ISSN: 1300-0659</identifier><identifier>DOI: 10.4274/tjo.50480</identifier><language>eng</language><publisher>Galenos Yayinevi Tic. Ltd</publisher><subject>Blunt trauma ; Complications and side effects ; Hyphema ; Physiological aspects</subject><ispartof>Turk oftalmoloji gazetesi, 2014-01, Vol.44 (1), p.19</ispartof><rights>COPYRIGHT 2014 Galenos Yayinevi Tic. Ltd.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,860,27901,27902</link.rule.ids></links><search><creatorcontrib>Ersoz, Mehmet Giray</creatorcontrib><creatorcontrib>Adiyeke, Seda</creatorcontrib><creatorcontrib>Ture, Gamze</creatorcontrib><creatorcontrib>Talay, Ekrem</creatorcontrib><creatorcontrib>Konya, Hakki Ozgur</creatorcontrib><title>Hyphema as a complication of blunt ocular trauma and additional ocular findings/Kunt goz travmasi sonrasinda gelisen hifemaya eslik eden okuler bulgular</title><title>Turk oftalmoloji gazetesi</title><description>Objectives: To investigate the frequency of angle recession, commotio retinae, and other ocular findings in patients with hyphema due to blunt ocular trauma. Materials and Methods: The medical records of 66 patients hospitalized between July 2010 and May 2012 with a diagnosis of traumatic hyphema were retrospectively reviewed. The age, gender, period between injury and the first examination, visual acuity at presentation, intraocular pressure (IOP), time of disappearance of hyphema, cause of blunt injury, additional ocular findings, medical and/or surgical treatment, follow-up time, and visual outcome were noted. Results: The mean age of the patients was 23.8 ± 19.2 years. Males constituted the 83.3% of the whole group. Game-related injury (43.9%) and work-related injury (22.7%) were the most common causes of blunt trauma. The bead gun was the most common tool involved in injury. Angle recession was detected in 36 patients (54.5%). Development of secondary glaucoma was higher in the patients with angle recession (chi-square test, p<0.05). Commotio retinae was observed in 47% of patients. The mean visual acuity at presentation was 0.4 ± 0.3, while at the last visit, it was 0.8 ± 0.3. There was a statistically significant difference between baseline and final visual acuity (paired-samples t-test, p<0.001). Conclusion: Hyphema due to blunt ocular trauma is observed mostly in young men and children. The most common blunt ocular injuries are game-and work-related. Angle recession and commotio retinae are the main complications of blunt ocular trauma causing hyphema. In cases with blunt ocular trauma, the presence of hyphema makes it difficult to examine the anterior chamber angle and the fundus. It is important to perform these investigations at the earliest stage to manage the complications since commotio retinae and angle recession accompany many cases with hyphema. (Turk J Ophthalmol 2014; 44:19-22) Key Words: Angle recession, Berlin's edema, blunt ocular trauma, commotio retinae, traumatic hyphema Amac: Kunt goz travmasi sonrasi hifema gelisen hastalarda aci resesyonu, kommosyo retina sikligini ve eslik eden diger okuler bulgulari arastirmak. Gerec ve Yontem: Temmuz 2010-Mayis 2012 tarihleri arasinda klinigimizde travmatik hifema tanisi ile takip ettigimiz 66 hastanin dosyalari retrospektif olarak incelendi. Olgularin demografik verilerinin yani sira travma turu-aleti, travma sonrasi basvuru sureleri, hifema duzeyleri, hifema cekilme suresi, ilk ve son gorme keskinlikleri, goz ici basinclari, eslik eden okuler bulgular, uygulanan tibbi ve/veya cerrahi tedavi ve takip suresi kaydedildi. Bulgular: Hastalarin yas ortalamasi 23,8 ± 19,2 yil idi. Elli bes hasta (%83,3) erkek, 11 hasta (%16,7) kadindi. En sik travma sekilleri oyun kazasi (%43,9), is kazasi (%22,7) ve ev kazasi (18,2) olarak bulundu. Travmaya neden olan cisimler icinde en sik boncuk tabancasi mermisi (%22,7), metal cisimler (%18,2) ve tas (%13,6) yer almaktaydi. Gonioskopik incelemede 36 olguda (%54,5) farkli derecelerde aci resesyonu belirlendi. Aci resesyonu olan hastalarda sekonder glokom gelisimi anlamli olarak yuksek bulundu (Chi-Square testi, p<0,05). Kommosyo retina 31 hastada (%47) mevcuttu; on olguda (%15,2) makula tutulumu (Berlin odemi) tespit edildi. Hastalarin basvuru anindaki gorme keskinligi ortalamasi 0,4 ± 0,3 iken izlem sonundaki gorme keskinligi ortalamasi 0,8 ± 0,3 idi. Hastalarin ilk ve son gorme keskinlikleri arasindaki fark anlamli bulundu (Paired-Samples T testi, p<0,001). Sonuc: Travmatik hifema genc erkekler ve cocuklarda daha sik gorulur. Kunt goz travmasina sekonder gelisen hifemanin en sik sebepleri oyun ve is kazalaridir. Kunt goz travmasi ile basvuran hastalarda hifema varligi ilk gunlerde gonioskopi, fundus bakisini zorlastirmakta ve aci resesyonu, kommosyo retina gibi komplikasyonlarin saptanmasina engel olmaktadir. Calismamizda aci resesyonu bulunan hastalarda sekonder glokom gelisme riskinin daha yuksek oldugu gorulmustur. Komplikasyonlara zamaninda mudahale edebilmek icin hifema seviyesi elverisli oldugunda detayli oftalmolojik muayene yapilmasi gerekmektedir. (Turk J Ophthalmol 2014; 44: 19-22) Anahtar Kelimeler: Aci resesyonu, Berlin odemi, kommosyo retina, kunt goz travmasi, travmatik hifema</description><subject>Blunt trauma</subject><subject>Complications and side effects</subject><subject>Hyphema</subject><subject>Physiological aspects</subject><issn>1300-0659</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid/><recordid>eNptkE1LAzEQhnNQsNQe_AcBwVvb7FeyOZaiVix46b3M5mM3bTYpm12h_hJ_rllUqODMYWDmed8ZBqG7hCzylOXL_uAXBclLcoUmSUbInNCC36BZCAcSo0hLRosJ-tycT41qAUPAgIVvT9YI6I132Gtc2cH12IvBQof7DoYRdBKDlGZkwP4OtXHSuDosX0dF7T9G_L2FYHDwrovVScC1siYohxuj484zYBWsOWIlY88fB6s6XA22Hh1v0bUGG9Tsp07R7ulxt97Mt2_PL-vVdl7zks3LpKoEL1QlaUVIwkBSJpXmnFIqCE-oJBp0xkvQmlEZP6O4YGkOtORUViybovtv2xqs2hunfbxbtCaI_SpP8jLNMz5Si3-omFK1RnintIn9P4KHC0GjwPZN8HYYnxYuwS_0HocT</recordid><startdate>20140101</startdate><enddate>20140101</enddate><creator>Ersoz, Mehmet Giray</creator><creator>Adiyeke, Seda</creator><creator>Ture, Gamze</creator><creator>Talay, Ekrem</creator><creator>Konya, Hakki Ozgur</creator><general>Galenos Yayinevi Tic. Ltd</general><scope/></search><sort><creationdate>20140101</creationdate><title>Hyphema as a complication of blunt ocular trauma and additional ocular findings/Kunt goz travmasi sonrasinda gelisen hifemaya eslik eden okuler bulgular</title><author>Ersoz, Mehmet Giray ; Adiyeke, Seda ; Ture, Gamze ; Talay, Ekrem ; Konya, Hakki Ozgur</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-g987-81bbc95ebd6b0017ad67def99666c0916d0faf398aff76d427e9c724a6896db73</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Blunt trauma</topic><topic>Complications and side effects</topic><topic>Hyphema</topic><topic>Physiological aspects</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ersoz, Mehmet Giray</creatorcontrib><creatorcontrib>Adiyeke, Seda</creatorcontrib><creatorcontrib>Ture, Gamze</creatorcontrib><creatorcontrib>Talay, Ekrem</creatorcontrib><creatorcontrib>Konya, Hakki Ozgur</creatorcontrib><jtitle>Turk oftalmoloji gazetesi</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ersoz, Mehmet Giray</au><au>Adiyeke, Seda</au><au>Ture, Gamze</au><au>Talay, Ekrem</au><au>Konya, Hakki Ozgur</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Hyphema as a complication of blunt ocular trauma and additional ocular findings/Kunt goz travmasi sonrasinda gelisen hifemaya eslik eden okuler bulgular</atitle><jtitle>Turk oftalmoloji gazetesi</jtitle><date>2014-01-01</date><risdate>2014</risdate><volume>44</volume><issue>1</issue><spage>19</spage><pages>19-</pages><issn>1300-0659</issn><abstract>Objectives: To investigate the frequency of angle recession, commotio retinae, and other ocular findings in patients with hyphema due to blunt ocular trauma. Materials and Methods: The medical records of 66 patients hospitalized between July 2010 and May 2012 with a diagnosis of traumatic hyphema were retrospectively reviewed. The age, gender, period between injury and the first examination, visual acuity at presentation, intraocular pressure (IOP), time of disappearance of hyphema, cause of blunt injury, additional ocular findings, medical and/or surgical treatment, follow-up time, and visual outcome were noted. Results: The mean age of the patients was 23.8 ± 19.2 years. Males constituted the 83.3% of the whole group. Game-related injury (43.9%) and work-related injury (22.7%) were the most common causes of blunt trauma. The bead gun was the most common tool involved in injury. Angle recession was detected in 36 patients (54.5%). Development of secondary glaucoma was higher in the patients with angle recession (chi-square test, p<0.05). Commotio retinae was observed in 47% of patients. The mean visual acuity at presentation was 0.4 ± 0.3, while at the last visit, it was 0.8 ± 0.3. There was a statistically significant difference between baseline and final visual acuity (paired-samples t-test, p<0.001). Conclusion: Hyphema due to blunt ocular trauma is observed mostly in young men and children. The most common blunt ocular injuries are game-and work-related. Angle recession and commotio retinae are the main complications of blunt ocular trauma causing hyphema. In cases with blunt ocular trauma, the presence of hyphema makes it difficult to examine the anterior chamber angle and the fundus. It is important to perform these investigations at the earliest stage to manage the complications since commotio retinae and angle recession accompany many cases with hyphema. (Turk J Ophthalmol 2014; 44:19-22) Key Words: Angle recession, Berlin's edema, blunt ocular trauma, commotio retinae, traumatic hyphema Amac: Kunt goz travmasi sonrasi hifema gelisen hastalarda aci resesyonu, kommosyo retina sikligini ve eslik eden diger okuler bulgulari arastirmak. Gerec ve Yontem: Temmuz 2010-Mayis 2012 tarihleri arasinda klinigimizde travmatik hifema tanisi ile takip ettigimiz 66 hastanin dosyalari retrospektif olarak incelendi. Olgularin demografik verilerinin yani sira travma turu-aleti, travma sonrasi basvuru sureleri, hifema duzeyleri, hifema cekilme suresi, ilk ve son gorme keskinlikleri, goz ici basinclari, eslik eden okuler bulgular, uygulanan tibbi ve/veya cerrahi tedavi ve takip suresi kaydedildi. Bulgular: Hastalarin yas ortalamasi 23,8 ± 19,2 yil idi. Elli bes hasta (%83,3) erkek, 11 hasta (%16,7) kadindi. En sik travma sekilleri oyun kazasi (%43,9), is kazasi (%22,7) ve ev kazasi (18,2) olarak bulundu. Travmaya neden olan cisimler icinde en sik boncuk tabancasi mermisi (%22,7), metal cisimler (%18,2) ve tas (%13,6) yer almaktaydi. Gonioskopik incelemede 36 olguda (%54,5) farkli derecelerde aci resesyonu belirlendi. Aci resesyonu olan hastalarda sekonder glokom gelisimi anlamli olarak yuksek bulundu (Chi-Square testi, p<0,05). Kommosyo retina 31 hastada (%47) mevcuttu; on olguda (%15,2) makula tutulumu (Berlin odemi) tespit edildi. Hastalarin basvuru anindaki gorme keskinligi ortalamasi 0,4 ± 0,3 iken izlem sonundaki gorme keskinligi ortalamasi 0,8 ± 0,3 idi. Hastalarin ilk ve son gorme keskinlikleri arasindaki fark anlamli bulundu (Paired-Samples T testi, p<0,001). Sonuc: Travmatik hifema genc erkekler ve cocuklarda daha sik gorulur. Kunt goz travmasina sekonder gelisen hifemanin en sik sebepleri oyun ve is kazalaridir. Kunt goz travmasi ile basvuran hastalarda hifema varligi ilk gunlerde gonioskopi, fundus bakisini zorlastirmakta ve aci resesyonu, kommosyo retina gibi komplikasyonlarin saptanmasina engel olmaktadir. Calismamizda aci resesyonu bulunan hastalarda sekonder glokom gelisme riskinin daha yuksek oldugu gorulmustur. Komplikasyonlara zamaninda mudahale edebilmek icin hifema seviyesi elverisli oldugunda detayli oftalmolojik muayene yapilmasi gerekmektedir. (Turk J Ophthalmol 2014; 44: 19-22) Anahtar Kelimeler: Aci resesyonu, Berlin odemi, kommosyo retina, kunt goz travmasi, travmatik hifema</abstract><pub>Galenos Yayinevi Tic. Ltd</pub><doi>10.4274/tjo.50480</doi></addata></record> |
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| subjects | Blunt trauma Complications and side effects Hyphema Physiological aspects |
| title | Hyphema as a complication of blunt ocular trauma and additional ocular findings/Kunt goz travmasi sonrasinda gelisen hifemaya eslik eden okuler bulgular |
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