Physicians should manage elevated IOP secondary to isolated traumatic hyphema first with medical therapy that includes the aggressive use of anti-inflammatory agents. If this approach is inadequate, surgical therapy should be considered. While formulating treatment plans, physicians should remember that the elevated IOP may be due to multiple concomitant etiologies and adjust their strategy accordingly. Finally, patients should be observed closely with gonioscopy when the eye is stable, because approximately 20% to 94% of those who develop hyphema experience associated angle-recession glaucoma. Predictors of glaucoma after blunt trauma include angle recession of 180º or more, the presence of increased pigment in the angle, an elevated IOP at baseline, hyphema, and dislocation of the lens.
Posts
Post a Comment