Epidemiology and outcomes of hyphema: a single tertiary centre experience of 180 cases
Epidemiology and outcomes of hyphema: a single tertiary centre experience of 180 cases
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DOI：
10.1111/aos.14603
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发表时间：
2020-10-29
影响因子：
3.4
通讯作者：
Woreta, Fasika A.
中科院分区：
文献类型：
--
作者：
Iftikhar, Mustafa;Mir, Tahreem;Woreta, Fasika A.
目的探讨前房积血的流行病学特征及预后。对2011年至2017年在约翰霍普金斯威尔默眼科研究所就诊的创伤性和自发性前房出血患者的病历进行了评价。明确病因、人口统计学、临床特征、并发症、治疗和结局。采用多变量logistic回归分析确定与眼内压（IOP）升高、再出血和预后不良（最终视力> 60岁）相关的因素（OR：16.0; p = 0.041）。自发性前房出血（n = 28）没有性别优势，在60岁以上的成人中更常见（71%）。最常见的原因是虹膜新生血管（61%）。并发症和视力结果更糟相比，创伤性前房出血。结论创伤性前房出血仍然是常见的年轻男性从事体育运动，有必要提高认识，预防眼镜。高龄和再出血可能导致不良结局。就诊时眼压升高易导致再出血，需要频繁随访。否则，在第1、3、5、7和14天的常规随访对于无并发症的病例是足够的。
Purpose To characterize the epidemiology and outcomes of hyphema.Methods Retrospective case series. Medical records from patients with traumatic and spontaneous hyphema seen at the Wilmer Eye Institute, Johns Hopkins, from 2011 through 2017 were evaluated. Aetiology, demographics, clinical characteristics, complications, management and outcomes were ascertained. Multivariable logistic regression was used to identify factors associated with elevated intraocular pressure (IOP), rebleeding and poor outcome (final visual acuity 60 years (OR: 16.0; p = 0.041). Spontaneous hyphema (n = 28) did not have a gender predominance and was more common in adults > 60 years (71%). The most common cause was iris neovascularization (61%). Complications and visual outcomes were worse compared with traumatic hyphema.Conclusions Traumatic hyphema continues to be common in young males engaging in sports, necessitating increased awareness for preventive eyewear. Older age and rebleeding can lead to poor outcomes. Elevated IOP at presentation predisposes to rebleeding and warrants frequent follow-up. Otherwise, routine follow-up at days 1, 3, 5, 7 and 14 is sufficient for uncomplicated cases.