Traumatic hyphema after closed-globe injuries: accompanying findings, management and visual outcomes

Aims: The aim of this study is to present the clinical findings and treatment approaches of patients with traumatic hyphema. Methods: The files of patients with traumatic hyphema who were diagnosed and treated in our clinic were retrospectively reviewed as part of the study. Hyphema grading was based on the level of hyphema at the time of initial presentation Results: A total of 25 cases of traumatic hyphema were evaluated in the study, consisting of 18 males (72%) and 7 females (28%). The average age of the patients was 44.7 ± 24.4 years. Among the cases, 1 had stage 0 hyphema (4%), 13 had Stage 1 hyphema (52%), 5 had Stage 2 (20%), 5 had Stage 3 (20%), and 1 had Stage 4 (4%). At the time of presentation, the best-corrected visual acuity of the patients was 1.24±0.99 logMAR which increased to 0.16±0.27 logMAR at the last follow-up. The intraocular pressures were 25±13.4 at the initial visit and 13.4±9.9 at the last follow-up. Anti-glaucomatous treatment was initiated in 10 (40%) cases due to elevated intraocular pressure. An anterior chamber lavage was performed on 4 cases. The common findings accompanying hyphema included: 12% iridodialysis, 12% phacodonesis, 12%vitreous hemorrhage, 8% traumatic cataract, 8% corneal lamellar laceration and 8% commotio retinae. Conclusion: Visual outcomes in cases of traumatic hyphema are generally favorable. Close monitoring is essential during the treatment process and in the management of complications in cases of traumatic hyphema.