Article

Corneal blood staining after traumatic hyphema

Journal of Pediatric Ophthalmology & Strabismus (Impact Factor: 0.75). 07/2007; 44(4):256.
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    • "A long standing hemorrhage of the anterior chamber along with a high IOP may cause blood constituents to enter the cornea and result in discoloration of the cornea with a yellow or light brown color. Other factors that contribute to this complication are the damage and transformation of the corneal endothelial cells and microerosions of the membrane of Descemet as a consequence of the trauma.14,20,21 Corneal blood staining may persist for a long period and its absorption starts from the periphery towards the centre of the cornea. "
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    ABSTRACT: The present study concerns traumatic hyphemas and their prognostic factors and signs. The aim of this study is to determine the prognostic factors and signs of traumatic hyphemas. During the last five years, 72 young individuals were hospitalized with the diagnosis of suffering a traumatic hyphema and were divided in three groups according to the extent of their hyphema. The first group concerns 38 patients with a small hyphema 3-4 mm, the second group concerns 22 patients with moderate hyphema reaching the pupillary border, and the third group concerns 12 patients with a total hyphema. The hyphema was absorbed in 63 patients and the IOP was controlled with medical treatment after 3-24 days. However, surgical management was necessary for two patients. Finally, antiglaucomatous treatment was administered in seven patients with persistent high intraocular pressure. The important clinical signs that determine the prognosis of such hyphemas are the size of hyphema, the blood color, recurrent hemorrhage, the absorption time, the increase of intraocular pressure, and blood staining of the cornea.
    Full-text · Article · Feb 2009 · Clinical ophthalmology (Auckland, N.Z.)
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    ABSTRACT: The initial examination of the patient with presumed glaucoma or glaucoma suspect status should be a problem-focused, enhanced version of the “new” patient set of clinical observations, diagnostic tests, and history taking routinely done by all ophthalmologists. My perspective in this chapter shall be that of a community-based glaucoma subspecialist, working in a group ophthalmology practice. I see patients referred for glaucoma-related diagnostic workup, consultation, and possible treatment. Everything I describe or recommend here should be well within the current or attainable skill sets of most eye care physicians and the facilities of average office environments. This chapter should serve as an informal guide for residents, fellows, and comprehensive ophthalmologists who wish to incorporate evidence-based diagnosis and patient management techniques into their glaucoma practices. I will also consider the occasional need for and use of advanced diagnostic technology that might be available for patients referred to academic medical centers, such as ultrasound biomicroscopy (UBM) and anterior segment ocular coherence tomography (AS-OCT).
    No preview · Chapter · Dec 2009