Pediatric Hyphema with a Secondary Bleed: Case Report on Childhood Trauma.
Background: Ocular trauma in childhood can have a lasting effect and is usually preventable with proper education and eye protection. A common manifestation of ocular injury caused by compressive or blunt force trauma is hyphema, which is blood accumulation in the anterior chamber following a tear i...
| Publicado en: | Optometry & Visual Performance Vol. 8; no. 1; pp. 15 - 19 |
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| Autor principal: | |
| Formato: | case study Journal Article |
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Optometric Extension Program
2020
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=142549019&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 142549019 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 23253479 HOOW jtl: Optometry & Visual Performance issn: 23253479 maglogo: N pubinfo: dt: 2020 vid: 8 iid: 1 pid: 46881 pub: Optometric Extension Program place: Lutherville Timonium, Maryland artinfo: ui: 142549019 142549019 142549019 142549019 ppf: 15 ppct: 4 formats: tig: atl: Pediatric Hyphema with a Secondary Bleed: Case Report on Childhood Trauma. aug: au: Murray, Elizabeth affil: Optometrist at LeBonehur Pediatric Ophthalmology Indiana University School of Optometry, Pediatric and Binocular Vision Midwestern University Arizona College of Optometry, 2017 Oregon State University, 2012, BS in Biochemistry and Biophysics sug: subj: Eye Injuries Complications Eye Hemorrhage Risk Factors Child Male Accidents, Home Pain Photophobia Vision Disorders Eye Protective Devices Utilization Eye Injuries Prevention and Control Child: 6-12 years Male ab: Background: Ocular trauma in childhood can have a lasting effect and is usually preventable with proper education and eye protection. A common manifestation of ocular injury caused by compressive or blunt force trauma is hyphema, which is blood accumulation in the anterior chamber following a tear in the iris or angle structures. Case Report: A 6-year-old white male was referred by the local emergency department following a close-range airsoft gun shot to his left eye. He presented with extreme pain, photophobia, and blur. Visual acuities were attempted, but unsuccessful due to poor patient cooperation. Intraocular pressure was 12 OD and 9 OS. 3+ bulbar conjunctival injection, 2-3+ corneal edema greatest temporally, a small corneal abrasion, and a microhyphema were present. Seidel sign was negative. After 2 days of management, corneal abrasion had resolved, however, the hyphema had a secondary bleed filling 75% of the anterior chamber. A B-scan confirmed that the retina was flat and no vitreous hemorrhage was present. The patient was referred to pediatric ophthalmology and an anterior chamber washout was performed. Final visual acuity was 20/30. Conclusions: Childhood traumas related to sports and recreation are often preventable with proper eye protection. These ocular traumas pose a challenge for eye care providers, as children are often more difficult to examine and treat. As pediatric providers, we must educate patients, parents, and coaches on the importance of prevention. pubtype: Academic Journal doctype: case study Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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