Controversies in the pathophysiology and management of hyphema

Abstract Traumatic hyphemas present dilemmas to physicians. There are numerous controversies pertaining to the optimal approach to traumatic hyphema and no standardized guidelines for its management. We address some of these controversies and present a pragmatic approach. We discuss various medical...

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Veröffentlicht in:Survey of ophthalmology 2016-05, Vol.61 (3), p.297-308
Hauptverfasser: Bansal, Svati, MBBS, MS, Gunasekeran, Dinesh Visva, MBBS, Ang, Bryan, MMed, Lee, Jiaying, MBBS, Khandelwal, Rekha, MBBS, FRCS, Sullivan, Paul, MBBS, FRCOphth, Agrawal, Rupesh, MMed, FRCS (Glasg), FAMS, DNB, DO
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container_end_page 308
container_issue 3
container_start_page 297
container_title Survey of ophthalmology
container_volume 61
creator Bansal, Svati, MBBS, MS
Gunasekeran, Dinesh Visva, MBBS
Ang, Bryan, MMed
Lee, Jiaying, MBBS
Khandelwal, Rekha, MBBS, FRCS
Sullivan, Paul, MBBS, FRCOphth
Agrawal, Rupesh, MMed, FRCS (Glasg), FAMS, DNB, DO
description Abstract Traumatic hyphemas present dilemmas to physicians. There are numerous controversies pertaining to the optimal approach to traumatic hyphema and no standardized guidelines for its management. We address some of these controversies and present a pragmatic approach. We discuss various medical agents and surgical techniques available for treatment, along with the indications for their use. We address the complications associated with hyphema and how to diagnose and manage them and consider the management of hyphema in special situations such as in children and sickle-cell anemia and in rare clinical syndromes such as recurrent hyphema after placement of anterior chamber intraocular lenses.
doi_str_mv 10.1016/j.survophthal.2015.11.005
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subjects angle recession
Anterior Chamber - physiopathology
Antifibrinolytic Agents - therapeutic use
Antihypertensive Agents - therapeutic use
Eye Injuries - etiology
Humans
hyphema
Hyphema - etiology
Hyphema - physiopathology
Hyphema - therapy
Mydriatics - therapeutic use
Ophthalmologic Surgical Procedures
Ophthalmology
surgical drainage
traumatic glaucoma
title Controversies in the pathophysiology and management of hyphema
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