Abstract:

Objective: To examine the clinical features and evaluate the factors affecting the visual prognosis in traumatic hyphema. Materials and Methods: The files of 48 patients followed up with the diagnosis of traumatic hyphema were analyzed retrospectively. Age, gender, cause of injury, grade of hyphema, initial visual acuity, accompanying clinical findings, and best corrected visual acuity (BCVA) at the last examination were examined. Prognostic factors affecting BCVA were examined. Results: The mean age of the patients (thirty-eight males, ten females) was 39.5±21.6 years. The most common cause of trauma was blunt trauma (25%) by a piece of wood. The most commonly seen grade was Grade I (41.7%). The corneal epithelial defect was noted in 23 eyes (47.91%), iridodialysis in 11 eyes (22.91%), phacodonesis in 7 eyes (14.58%), and vitreous hemorrhage in 10 eyes (20.83%). At the initial examination, elevated intraocular pressure (IOP) was detected in 35 eyes and controlled with medical treatment. Anterior chamber irrigation was performed in 3 eyes. The BCVA of the patients at baseline, week 1, and month 3 were 1.7 ± 0.8, respectively; 0.5±0.5; was 0.2±0.3 (LogMAR). Additional surgical procedures (lens extraction and intraocular lens implantation with or without vitreoretinal surgery) were performed on 4 patients. There was a negative correlation between the presence of iridodialysis (p=0.023 r= -0.345), phacodonesis (p=0.020,r= -0.347), and vitreous hemorrhage (p=0.000, r= -0.553) and final BCVA. Conclusion: Traumatic hyphema is often accompanied by various anterior-posterior segment findings. The presence of iridodialysis, phacodonesis, and vitreous hemorrhage affects the visual prognosis negatively.

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