Surgical therapy of traumatic hyphema

J. S. Weiss, Richard K Parrish, Douglas Anderson

Research output: Contribution to journalArticle

14 Citations (Scopus)

Abstract

The ususal management of traumatic hyphemas in our institution has been to avoid or delay surgery until absolutely demanded by the clinical course. Despite this, most (73%) of our in-patients with total hyphema underwent surgery before leaving the hospital. In those who required surgery, 43% developed corneal staining. Optic nerve damage occurred in half of the patients whose surgery was performed eight or more days after the hyphema occurred, but was absent in those undergoing earlier surgery. The usual procedure used in this series was a trabeculectomy with iridectomy and gentle irrigation of the anterior chamber, and no surgical complications occurred. We believe that surgery, being relatively safe, should be performed early in cases of total hyphema unless the elevated intraocular pressure is controlled medically and spontaneous resolution is clearly imminent. For cases in which surgery is nearly inevitable, we suggest that earlier surgery might reduce the incidence of optic nerve damage and corneal staining.

Original languageEnglish
Pages (from-to)343-345
Number of pages3
JournalOphthalmic Surgery
Volume14
Issue number4
StatePublished - Jan 1 1983

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Hyphema
Therapeutics
Optic Nerve
Iridectomy
Staining and Labeling
Trabeculectomy
Anterior Chamber
Intraocular Pressure
Incidence

ASJC Scopus subject areas

  • Ophthalmology

Cite this

Weiss, J. S., Parrish, R. K., & Anderson, D. (1983). Surgical therapy of traumatic hyphema. Ophthalmic Surgery, 14(4), 343-345.

Surgical therapy of traumatic hyphema. / Weiss, J. S.; Parrish, Richard K; Anderson, Douglas.

In: Ophthalmic Surgery, Vol. 14, No. 4, 01.01.1983, p. 343-345.

Research output: Contribution to journalArticle

Weiss, JS, Parrish, RK & Anderson, D 1983, 'Surgical therapy of traumatic hyphema', Ophthalmic Surgery, vol. 14, no. 4, pp. 343-345.
Weiss JS, Parrish RK, Anderson D. Surgical therapy of traumatic hyphema. Ophthalmic Surgery. 1983 Jan 1;14(4):343-345.
Weiss, J. S. ; Parrish, Richard K ; Anderson, Douglas. / Surgical therapy of traumatic hyphema. In: Ophthalmic Surgery. 1983 ; Vol. 14, No. 4. pp. 343-345.
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