Traumatic hyphaema in Kaduna, Nigeria.

Amoni, S S

doi:10.1136/bjo.65.6.439

Cited by 13 publications

(21 citation statements)

References 14 publications

(4 reference statements)

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“…In general the indications for surgery expressed by this group of Nigerian ophthalmologists agree with those reported by Amoni many years ago in Kaduna, Nigeria19 but absolute indications (when surgery must absolutely be undertaken) concerning degree of hyphaema, duration, and level of IOP or the interplay of the three find differing degrees of agreement among practitioners.…”

Section: Discussionsupporting

confidence: 80%

Paracentesis as Surgical Intervention in Traumatic Hyphaema: Opinions and Practices of Nigerian Ophthalmologists

Chuka

Obizoba

2012

Ophthalmol Eye Dis

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Introduction:Various aspects of management of traumatic hyphaema are enmeshed in controversy. Surgery is done to prevent complications: optic atrophy and corneal blood staining occurring if a high risk exists of either or both occurring. Circumstances considered high risk do not enjoy universal consensus.Objectives:To determine what Nigerian ophthalmologists consider absolute indications for surgical intervention by means of anterior chamber paracentesis and hyphaema washout in closed globe traumatic hyphaema, evaluate these absolute indications, and attempt to evolve a guideline for surgical intervention based on areas of consensus and disagreement.Method:A semi-structured, pre-tested questionnaire with responses analyzed with SPSS 11 software.Result:Near universal agreement on indication exist on early corneal blood staining and sickle cell haemoglobinopathy. Differing views concern blackball, volume and duration of hyphaema and secondary hypertension-associated hyphaema. However, it appears surgery is embarked on earlier than other practitioners elsewhere may consider necessary.Conclusion:Risk level for non-surgical management against risk and benefit of surgery should be evaluated for each individual before surgery.

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Section: Discussionsupporting

confidence: 80%

Paracentesis as Surgical Intervention in Traumatic Hyphaema: Opinions and Practices of Nigerian Ophthalmologists

Chuka

Obizoba

2012

Ophthalmol Eye Dis

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“…In the results, those with grade 2 hyphema were 24.1% which is less than that found in Pakistan and Nigeria [8], 43 who reported about 50% of the patients to have a grade 2 hyphema, but different from that reported by Edward and Layden [2]. In the latter study, only 15% of patients had grade 2 hyphema.…”

Section: Discussioncontrasting

confidence: 54%

“…This visual outcome is worse than in other patients in North America [43], Europe [15,49] but is similar to report from Asia and other parts of Africa [8,43]. This may have been due to several factors in our setting like the grade of hyphema, poor UVA on admission due to severe eyeball damage (ruptured globe, retinal detachment and previous trauma) and due to non-compliance of the patients with the doctor's instruction.…”

Section: Discussionmentioning

confidence: 46%

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Traumatic Hyphema Frequency and Management Evaluation: A Retrospective Study

Al-Saffar¹,

Hussein²,

Jamal³

2017

Health Sci J

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Traumatic hyphema are important as they are fairly common following blunt trauma and they are increasing nowadays. Most results from unnecessary eye injuries, especially in children, which are largely preventable. Objectives:The aim of the study is to evaluate the final unaided visual acuity and the intraocular pressure level on discharge of blunt traumatic hyphema management, and to compare between grade 1 hyphema (low risk, hyphema filling less than half of the anterior chamber) and grade 2 hyphema (high risk, hyphema filling more than half of the anterior chamber) or hyphema associated with a high intraocular pressure regarding the final visual outcome on discharge.

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“…It has also been reported that re-bleeding was associated with worse VA and higher complication rates. [1,22,27,[29][30][31] In our study, grade of disease, VA and complication rates were similar in patients with and without re-bleeding. The rate of re-bleeding was lower in our study.…”

Section: Discussionmentioning

confidence: 86%