Treatment of traumatic hyphaema.

Abstract

THE treatment of traumatic hyphaema has attracted increasing attention since the second world war, but the assessment of various methods has often been based on restricted series, especially in regard to the use of mydriatics and of cortisone, and the non-medicinal treatment in nearly every series consisted of binocular or pinpoint spectacles. Rychener (1944) recommended the use of eserine in the initial stages. Smith (1952) used pilocarpine if the hyphaema was more than 6 mm. high. O'Neill (1952) also used pilocarpine, but in combination with neosynephrine. According to Laughlin (1948), the best drug was atropine. A milder mydriatic or homatropine was recommended by Lock (1950), Thygeson and Beard (1952), Hogan (1952), and Loring (1958). Many authors asserted that no drug therapy was needed, at least in the initial stages, except in cases with severe complications (

Treatment of Traumatic Hyphaema

“…In some of the series where the hyphaemas have been graded, the percentage of large hyphaemas is higher. Oksala (1967) Layden (1973) indicated a direct correlation between the size of the primary hyphaema, and the occurrence of secondary bleeding and the complication rate respectively. They also suggested that the favourable course reported in many papers seems to be due to the preponderance of small primary hyphaemas in these materials.…”

Occupational Eye Injuries in Finland

“…Here accidents have been the main cause of blindness including 35.2 Yo of all cases with uniocular blindness and 22.8 To of all cases with bilateral blindness (Vannas & Raivio 1964). Therefore some studies have been done in Finland to evaluate the occurrence, management, and prevention of perforating eye injuries (Niiranen 1978(Niiranen , 1979, blunt ocular trauma (Oksala 1967;Uusitalo et al 1981), corrosive eye burns , eye injuries in children (Niiranen & Raivio 1981, and eye injuries in agriculture (Saari & Aine 1983). There are also some general surveys of eye injuries treated at the department of ophthalmology, University of Helsinki (Forsius & Nikupaavo 1964) and Tampere (Saari & Aine 1982) but there are no general surveys of occupational eye injuries occurring in the whole country.…”

Traumatic hyphaema in Kaduna, Nigeria.

“…Some of the forms of treatment suggested include miotics, mydriatics cycloplegics, topical and systemic corticosteroids singly or in various combinations, sedation with complete bed rest with unilateral, bilateral, or no patching of the eyes, and the use of such medications as acetazolamide, urea, mannitol, and glycerol when the intraocular pressure is raised.' [6][7][8][9][10] Opinions also differ on the timing and the mode of surgical treatment. "1-'3 The final visual outcome is often more related to the associated ocular injuries than to the hyphaema itself.…”