Clinical Patterns and Management Modalities in Traumatic Hyphema Among Patients Attending Nangarhar University Teaching Hospital, Afghanistan

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Published Dec 30, 2024
https://doi.org/10.70436/nuijb.v3i03.339
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Vol. 3 No. 03 (2024): September

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Abdul Basir Safi
Nangarhar University
Ibrarullah Rahimi
Nangarhar University
Abdul Azeem Rasouli
Nangarhar University
Abdul Nasir Safi
Hyat Abad Medical Complex
Ahmad Hamed Nayab
Kazakh National Medical University

Abstract

Hyphema is defined as the presence of blood in the anterior chamber of the eye. It is most commonly caused by ocular damage. Hyphema can cause pain, blurred vision, and elevated intraocular pressure (IOP), all of which can lead to serious problems if not treated properly. The goal of this study was to look into clinical patterns and treatment modalities for patients with traumatic hyphema. This retrospective study was conducted at Nangarhar University Teaching Hospital, focusing on patients who presented with traumatic hyphema between January 2023 and April 2024. The study included 73 participants with mean± SD (12.98±10.2) age years. The majority were men (60.3%, n=44), and women accounting for 39.7% (n=29). The age distribution revealed that the largest age group was children aged 6-10 years, accounting for 38.4% (n=28) of the sample population. In terms of residency, Nangarhar province accounted for the most of participants (47.9%, n=35). According to the types of ocular damage, blunt trauma was the most common, affecting 41.1% (n=30) of participants. Compared to the left eye, the right eye was more commonly affected. The vast majority of the cases—57.5%, had intraocular pressures that were within the normal range. Of the 73 patients, 31 with high IOP received a variety of treatments, including medication and operations such cataract extraction and trabeculectomy, while 42 with a normal IOP were treated medically. The study found that young males often have hyphemia due to blunt trauma, emphasizing the need for preventive measures. Nearly half of the patients had high intraocular pressure, requiring individualized treatment.

Keywords

Hyphema, Ocular, Trauma, Clinical, pattern, Intraocular, pressure, Treatment, modalities

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Author Biographies

Abdul Basir Safi, Nangarhar University

Department of Ophthalmology, Faculty of Medicine, Nangarhar University, Nangarhar, Afghanistan

Ibrarullah Rahimi, Nangarhar University

Department of Ophthalmology, Faculty of Medicine, Nangarhar University, Nangarhar, Afghanistan

Abdul Azeem Rasouli, Nangarhar University

Department of Otorhinolaryngology, Faculty of Medicine, Nangarhar University, Nangarhar, Afghanistan

Abdul Nasir Safi, Hyat Abad Medical Complex

Department of Ophthalmology, Hyat Abad Medical Complex, Khyber Pakhtunkhwa, Pakistan

Ahmad Hamed Nayab, Kazakh National Medical University

Department of Clinic, Kazakh National Medical University, Almaty , Kazakhstan

How to Cite
Safi, A. B., Rahimi, I., Rasouli, A. A., Safi, A. N., & Nayab, A. H. (2024). Clinical Patterns and Management Modalities in Traumatic Hyphema Among Patients Attending Nangarhar University Teaching Hospital, Afghanistan. Nangarhar University International Journal of Biosciences, 3(03), 26–32. https://doi.org/10.70436/nuijb.v3i03.339

References

  1. Bansal, S., Gunasekeran, D. V., Ang, B., Lee, J., Khandelwal, R., Sullivan, P., & Agrawal, R. (2015). Controversies in the pathophysiology and management of hyphema. Survey of Ophthalmology. https://doi.org/10.1016/j.survophthal.2015.11.005
  2. Binenbaum, G., Mirza-George, N., Christian, C. W., & Forbes, B. J. (2009). Odds of abuse associated with retinal hemorrhages in children suspected of child abuse. Journal of the American Association for Pediatric Ophthalmology and Strabismus (JAAPOS), 13(3), 268–272. https://doi.org/10.1016/j.jaapos.2009.03.005
  3. Boese, E. A., Karr, D. J., Chiang, M. F., & Kopplin, L. J. (2018). Visual acuity recovery following traumatic hyphema in a pediatric population. Journal of AAPOS : The Official Publication of the American Association for Pediatric Ophthalmology and Strabismus, 22(2), 115–118. https://doi.org/10.1016/j.jaapos.2017.11.004
  4. Brandt, M. T., & Haug, R. H. (2001). Traumatic hyphema: a comprehensive review. Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons, 59(12), 1462–1470. https://doi.org/10.1053/joms.2001.28284
  5. Chen, E. J., & Fasiuddin, A. (2021). Management of Traumatic Hyphema and Prevention of Its Complications. Cureus, 13(6), 8–10. https://doi.org/10.7759/cureus.15771
  6. Duan, F., Chen, X., Zhang, S., Qi, X., Shi, W., & Gao, H. (2020). Clinical Characteristics and Visual Outcomes of Patients Hospitalized for Ocular Trauma in Shandong Province , China. Journal of Ophthalmology, 2020(December 2018), 1–5. https://doi.org/10.1155/2020/5826263
  7. Fa, W., Kb, L., Sm, N., Rw, S., & Mf, G. (2023). Medical interventions for traumatic hyphema ( Review ). Cochrane Database of Systematic Reviews, 3. https://doi.org/10.1002/14651858.CD005431.pub5.
  8. Ghafari, A. B., Siamian, H., Aligolbandi, K., & Vahedi, M. (2013). Hyphema Caused by Trauma. Med Arh, 67(5), 354–356. https://doi.org/10.5455/medarh.2013.67.354-356
  9. Gharaibeh, A., Savage, H. I., Scherer, R. W., Goldberg, M. F., & Lindsley, K. (2013). Medical interventions for traumatic hyphema. The Cochrane Database of Systematic Reviews, 12, CD005431. https://doi.org/10.1002/14651858.cd005431.pub3
  10. Gregori, N. Z., Feuer, W., & Rosenfeld, P. J. (2010). Novel Method For Analyzing Snellen Visual Acuity Mesurment. RETINA, 30(7). https://journals.lww.com/retinajournal/fulltext/2010/07000/novel_method_for_analyzing_snellen_visual_acuity.8.aspx
  11. Iftikhar, M., Mir, T., Seidel, N., Rice, K., Trang, M., Bhowmik, R., Chun, J., Goldberg, M. F., & Woreta, F. A. (2021). Epidemiology and outcomes of hyphema : a single tertiary centre experience of 180 cases. Acta Ophthalmologica, 394–401. https://doi.org/10.1111/aos.14603
  12. Khan, B. S., Hussain, I., & Nawaz, A. (2007). Management of Traumatic Hyphema with Raised Intraocular Pressure. Pak J Ophthalmol, 23(4), 217–220.
  13. logMAR - Snellen Conversion Calculator: MyVisionTest.com. (n.d.-b). https://www.myvisiontest.com/
  14. Négrel, A., & Thylefors, B. (1998). the global impact of eye injuries. Ophthalmic Epidemiology, 5(3).
  15. Rocha, K. M., Martins, E. N., Melo, Jr, L. A. S., & Bueno de Moraes, N. S. (2004). Outpatient management of traumatic hyphema in children: Prospective evaluation. Journal of the American Association for Pediatric Ophthalmology and Strabismus (JAAPOS), 8(4), 357–361. https://doi.org/10.1016/j.jaapos.2004.04.001
  16. Rossin, E. J., Szypko, C., Giese, I., Hall, N., Gardiner, M. F., & Lorch, A. (2021). Factors Associated With Increased Risk of Serious Ocular Injury in the Setting of Orbital Fracture. JAMA Ophthalmology, 139(1), 77–83. https://doi.org/10.1001/jamaophthalmol.2020.5108
  17. Sharaawy, T., & Bhartiya, S. (2011). Symposium Surgical management of glaucoma : Evolving paradigms. Indian Journal of Ophthalmology, 51(Suppl 1), 121–130. https://doi.org/10.4103/0301-4738.73692
  18. Türkoğlu, E. B., Celik, T., Celik, E., Ozkan, N., Bursalı, O., Coşkun, S. B., & Alagoz, G. (2014). Is topical corticosteroid necessary in traumatic hyphema? Journal Francais d’ophtalmologie, 37(8), 613–617. https://doi.org/10.1016/j.jfo.2014.04.007
  19. Walton, W., Von Hagen, S., Grigorian, R., & Zarbin, M. (2002). Management of Traumatic Hyphema. Survey of Ophthalmology, 47(4), 297–334. https://doi.org/10.1016/S0039-6257(02)00317-X
  20. Wright, K. (2003). Pediatric Ophthalmology and Strabismus (Vol. 6).

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