Management of Traumatic Hyphema with Raised Intraocular Pressure

Abstract

Purpose: To find out the incidence of high IOP (? 25 mm Hg), its management and visual outcome in traumatic hyphema patients.

Material and Methods: A retrospective study was carried out of all patients with traumatic hyphema admitted to Khyber Teaching Hospital Peshawar between January 2003 and December 2004.

Results: Out of 118 patients with traumatic hyphema requiring hospitalization high IOP was found in 50 cases. Amongst these more than 60% had an IOP?45mm Hg. The mean age at time of presentation was 7 years. Glaucoma was controlled in 26% cases by medical means while 74% needed surgical intervention. Visual out come was 6/12 or better in 22% cases.

Conclusion: Surprisingly traumatic hyphema with raised IOP has high incidence and poor visual outcome than expected.