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 |
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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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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.</description><identifier>ISSN: 0039-6257</identifier><identifier>EISSN: 1879-3304</identifier><identifier>DOI: 10.1016/j.survophthal.2015.11.005</identifier><identifier>PMID: 26632664</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>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</subject><ispartof>Survey of ophthalmology, 2016-05, Vol.61 (3), p.297-308</ispartof><rights>Elsevier Inc.</rights><rights>2016 Elsevier Inc.</rights><rights>Copyright © 2016 Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c432t-446c3617e310c340268af7965573ca9e99d8a14628bc860922748bdbfaf96d5a3</citedby><cites>FETCH-LOGICAL-c432t-446c3617e310c340268af7965573ca9e99d8a14628bc860922748bdbfaf96d5a3</cites><orcidid>0000-0002-6662-5850</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.survophthal.2015.11.005$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26632664$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Bansal, Svati, MBBS, MS</creatorcontrib><creatorcontrib>Gunasekeran, Dinesh Visva, MBBS</creatorcontrib><creatorcontrib>Ang, Bryan, MMed</creatorcontrib><creatorcontrib>Lee, Jiaying, MBBS</creatorcontrib><creatorcontrib>Khandelwal, Rekha, MBBS, FRCS</creatorcontrib><creatorcontrib>Sullivan, Paul, MBBS, FRCOphth</creatorcontrib><creatorcontrib>Agrawal, Rupesh, MMed, FRCS (Glasg), FAMS, DNB, DO</creatorcontrib><title>Controversies in the pathophysiology and management of hyphema</title><title>Survey of ophthalmology</title><addtitle>Surv Ophthalmol</addtitle><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.</description><subject>angle recession</subject><subject>Anterior Chamber - physiopathology</subject><subject>Antifibrinolytic Agents - therapeutic use</subject><subject>Antihypertensive Agents - therapeutic use</subject><subject>Eye Injuries - etiology</subject><subject>Humans</subject><subject>hyphema</subject><subject>Hyphema - etiology</subject><subject>Hyphema - physiopathology</subject><subject>Hyphema - therapy</subject><subject>Mydriatics - therapeutic use</subject><subject>Ophthalmologic Surgical Procedures</subject><subject>Ophthalmology</subject><subject>surgical drainage</subject><subject>traumatic glaucoma</subject><issn>0039-6257</issn><issn>1879-3304</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkU2O1DAQhS0EYpqBK6CwY5NQ_okTb0CoxZ80EgtgbbmdysRNYgc7aSm3mbNwMtzqASFWLEq1efWe3leEvKBQUaDy1bFKazyFeVgGM1YMaF1RWgHUD8iOto0qOQfxkOwAuColq5sr8iSlIwAIrprH5IpJyfOIHXmzD36J4YQxOUyF88UyYDGbZcj2W3JhDLdbYXz3824y3tzihH4pQl8M2zzgZJ6SR70ZEz6739fk2_t3X_cfy5vPHz7t396UVnC2lEJIyyVtkFOwXACTrekbJeu64dYoVKprDRWStQfbSlCMNaI9dIfe9Ep2teHX5OXFd47hx4pp0ZNLFsfReAxr0rRpGaMNq3mWqovUxpBSxF7P0U0mbpqCPvPTR_0XP33mpynVmV--fX4fsx4m7P5c_gaWBfuLAHPZk8Ook3XoLXYuol10F9x_xbz-x8WOzjtrxu-4YTqGNfpMU1OdmAb95fzI8x9pDZBbKv4LRHudKA</recordid><startdate>20160501</startdate><enddate>20160501</enddate><creator>Bansal, Svati, MBBS, MS</creator><creator>Gunasekeran, Dinesh Visva, MBBS</creator><creator>Ang, Bryan, MMed</creator><creator>Lee, Jiaying, MBBS</creator><creator>Khandelwal, Rekha, MBBS, FRCS</creator><creator>Sullivan, Paul, MBBS, FRCOphth</creator><creator>Agrawal, Rupesh, MMed, FRCS (Glasg), FAMS, DNB, DO</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-6662-5850</orcidid></search><sort><creationdate>20160501</creationdate><title>Controversies in the pathophysiology and management of hyphema</title><author>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</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c432t-446c3617e310c340268af7965573ca9e99d8a14628bc860922748bdbfaf96d5a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>angle recession</topic><topic>Anterior Chamber - physiopathology</topic><topic>Antifibrinolytic Agents - therapeutic use</topic><topic>Antihypertensive Agents - therapeutic use</topic><topic>Eye Injuries - etiology</topic><topic>Humans</topic><topic>hyphema</topic><topic>Hyphema - etiology</topic><topic>Hyphema - physiopathology</topic><topic>Hyphema - therapy</topic><topic>Mydriatics - therapeutic use</topic><topic>Ophthalmologic Surgical Procedures</topic><topic>Ophthalmology</topic><topic>surgical drainage</topic><topic>traumatic glaucoma</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Bansal, Svati, MBBS, MS</creatorcontrib><creatorcontrib>Gunasekeran, Dinesh Visva, MBBS</creatorcontrib><creatorcontrib>Ang, Bryan, MMed</creatorcontrib><creatorcontrib>Lee, Jiaying, MBBS</creatorcontrib><creatorcontrib>Khandelwal, Rekha, MBBS, FRCS</creatorcontrib><creatorcontrib>Sullivan, Paul, MBBS, FRCOphth</creatorcontrib><creatorcontrib>Agrawal, Rupesh, MMed, FRCS (Glasg), FAMS, DNB, DO</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Survey of ophthalmology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Bansal, Svati, MBBS, MS</au><au>Gunasekeran, Dinesh Visva, MBBS</au><au>Ang, Bryan, MMed</au><au>Lee, Jiaying, MBBS</au><au>Khandelwal, Rekha, MBBS, FRCS</au><au>Sullivan, Paul, MBBS, FRCOphth</au><au>Agrawal, Rupesh, MMed, FRCS (Glasg), FAMS, DNB, DO</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Controversies in the pathophysiology and management of hyphema</atitle><jtitle>Survey of ophthalmology</jtitle><addtitle>Surv Ophthalmol</addtitle><date>2016-05-01</date><risdate>2016</risdate><volume>61</volume><issue>3</issue><spage>297</spage><epage>308</epage><pages>297-308</pages><issn>0039-6257</issn><eissn>1879-3304</eissn><abstract>Abstract Traumatic hyphemas present dilemmas to physicians. 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source | MEDLINE; ScienceDirect Journals (5 years ago - present) |
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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