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ORIGINAL ARTICLE
Year : 2018  |  Volume : 21  |  Issue : 7  |  Page : 921-924

Risk factors for poor visual outcome in traumatic hyphema: Jakarta eye trauma study


1 Department of Ophthalmology, Faculty of Medicine, Christian University of Indonesia; Cikini CCI Hospital, Cikini Eye Institute, Jakarta, Indonesia
2 Department of Ophthalmology, Faculty of Medicine, Christian University of Indonesia, Jakarta, Indonesia
3 Department of Ophthalmology, Faculty of Medicine, University of Indonesia, Jakarta, Indonesia

Correspondence Address:
Dr. G W S Simanjuntak
Department of Ophthalmology, Faculty of Medicine, Christian University of Indonesia, Jalan Ps Sutoyo, Cawang, Jakarta
Indonesia
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/njcp.njcp_251_17

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Objective: To report the risk factors for poor visual outcome in traumatic hyphema. Materials and Methods: A retrospective study was done by collecting data from medical records between January 2011 and December 2015 in Jakarta, Indonesia. Clinical data included initial visual acuity (IVA), final VA at 3 months, slit lamp evaluation with grading of hyphema, intraocular pressure, and fundus findings on direct or indirect ophthalmoscopy. Results: The study included 97 patients, with males showing a preponderance, the ratio being 9:1. Soft gun pellet was the most common cause (27.8%), others being workplace injuries (12.4%), sports injury (14.4%), traffic accident (2.1%), and other injuries (43.3%). Poor visual outcome was due to vitreous hemorrhage, cataract, iridodialysis, and choroidal rupture. On statistical analysis, significant risk factors were causality (P = 0.018), IVA (P = 0.026), onset of injury (0.000), and grade of hyphema (P = 0.000). Conclusion: Grade of hyphema, IVA, causality, and onset of injury were significant risk factors related to poor visual outcome in traumatic hyphema.


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