@article{ref1,
title="Traumatic hyphaema in children: a retrospective and prospective study of outcomes at an Australian paediatric centre",
journal="BMJ open ophthalmology",
year="2019",
author="Richards, Michael D. and Barnes, Kate and Yardley, Anne-Marie E. and Hanman, Kate and Lam, Geoffrey C. and Mackey, David A.",
volume="4",
number="1",
pages="e000215-e000215",
abstract="OBJECTIVE: This study aims to evaluate the presenting characteristics, management, outcomes and complications for paediatric traumatic hyphaema in Western Australia. <br><br>METHODS AND ANALYSIS: A retrospective review of medical records was conducted for consecutive patients ≤16 years of age admitted for traumatic hyphaema to Princess Margaret Hospital for Children (Perth, Australia) between January 2002 and December 2013 (n=82). From this sample, a cohort whose injury occurred ≥5 years prior attended a prospective ocular examination (n=16). Hospital records were reviewed for patient demographics, injury details, management, visual outcomes and complications. The prospective cohort underwent examination for visual and structural outcomes. <br><br>RESULTS: Most injuries (72%) resulted from projectile objects. Angle recession was present in 53% and was associated with projectiles (p=0.002). Most eyes (81%) achieved a final visual acuity of 0.3 logarithm of the minimum angle of resolution (logMAR) (20/40) or better. Age ≤5 years and posterior segment injury were significant predictors of final visual acuity poorer than 0.3 logMAR. At ≥5 years post-trauma, injured eyes had greater intraocular pressure (IOP) (p=0.024) and anterior chamber depth (ACD) (p=0.022) compared with sound eyes. IOP asymmetry was associated with angle recession (p=0.008) and ACD asymmetry (p=0.012). <br><br>CONCLUSION: Poorer visual outcomes are associated with younger age at injury and posterior segment injury. Angle recession and ACD asymmetry are associated with IOP asymmetry 5-12 years after injury.<p /> <p>Language: en</p>",
language="en",
issn="2397-3269",
doi="10.1136/bmjophth-2018-000215",
url="http://dx.doi.org/10.1136/bmjophth-2018-000215"
}