Posters

Ocular hypertonias secondary to post-traumatic hyphemas: about 30 cases

Poster Details

First Author: Z.Hmeimett MOROCCO

Co Author(s):    O. Charkaoui                    

Abstract Details

Purpose:

screening for secondary complications of hyphema, mainly glaucoma

Setting:

Morocco

Methods:

This is a retrospective study of 30 post-traumatic hyphemata files over a period of 2 years from January 1, 2018 to December 31, 2019. In 1/3 of the cases, our patients present with primary ocular hypertension upon admission and 15% develop secondary hypertension during the course of their evolution.

Results:

15% of patients underwent surgical washing with hyphema, 2 of which had associated corneal and scleral wounds. 2 cases were complicated by retinal detachment. Ultrasound was performed in 50% of cases depending on the grade of hyphema and associated lesions.Post-traumatic hyphema is often complicated by reversible early ocular hypertonia in the majority of cases. It can be prolonged and delayed with a major functional impact. Management must be prompt and well managed in order to limit complications such as spotting, hematocornea and especially glaucoma. Hence the need for regular measurement of eye tone, remote gonioscopy to highlight lesions of the iridocorneal angle.

Conclusions:

Post-traumatic hyphema is a frequent reason for hospitalization The challenge is to combat complications secondary to hyphema and to early detect post-traumatic glaucoma which can go unnoticed.

Financial Disclosure:

None