Posters

Prognostic factors of poor visual outcome in post-traumatic hyphema

Poster Details

First Author: M.Tijani MOROCCO

Co Author(s):    N. Al Baroudi   N. Boutimzine   O. Cherkaoui              

Abstract Details

Purpose:

To analyze risk factors of poor visual outcomes following post-traumatic hyphema

Setting:

Ibn Sina university hospital (hôpital des spécialités), Department A of ophthalmology, Rabat, Morocco

Methods:

In this retrospective study we reviewed the records of 69 patients admitted for blunt ocular trauma resulting in hyphema between January 2015 and January 2018. All patients underwent a complete ophthalmic examination. Demographic, clinical and therapeutic results were analyzed using SPSS® software.

Results:

There was a male dominance (92.8%). The median age (years) was 12[7.5-21]. A late onset of trauma (> 24 hours) was reported in 34.8% of cases. 50.7% of traumas occurred during assault. At the end of the follow up, 37.7% of patients had severe visual loss. This group of patients were adults (71.4%) with a delay of consultation in 62.5% of cases and a poor initial visual acuity (VA) in 53.1% of cases (p< 0.05). The grade 3 and 4 of hyphema, rebleeding, secondary glaucoma, cataract and posterior segment injury  were associated with poor visual outcome.

Conclusions:

Initial VA, the onset of trauma before admission, the grade of hyphema and ocular complications are the prognostic factors of poor visual outcome following post-traumatic hyphema.

Financial Disclosure:

None