Traumatic Vitreous Hemorrhage in Children-Clinical Features and Outcomes
摘要
Purpose: To determine the clinical profile, causes, and outcomes of traumatic vitreous hemorrhage(TVH) in children(<18 years of age).Methods:.Retrospective computer assisted chart review..501 eyes of 464 children(103 females; 361 males) who presented with TVH between 2001 and 2012 were included. All children underwent a complete ocular and systemic examination and investigation. The etiology, visual, and anatomic results of pediatric TVH were the outcome measures.Results: Median age: 12.27±4.51 years. 37 patients had bilateral VH; 43.24% of these were firecracker injuries..Commonest complaint was diminished vision(96.45%)..Mean BCVA(logMAR) at presentation was 2.64±1.11 logMAR. Sticks(43.43%).and cricket balls.(13.24%).were the commonest causes..Treatment included medical therapy(topical and / or systemic; 56 eyes), laser photocoagulation(34 eyes), and /or surgery.(387 eyes)..Mean final BCVA was significantly better(1.01±0.58 logMAR;P=0.011,Z test). Mean follow up in the closed and open globe trauma was 47±12.47 and 36.24±9.72 months, respectively.Conclusion:.TVH has significant implications in children.Firecracker injuries are notorious for bilateral VH
