@article{ref1,
title="Timing of ocular hypertension after pediatric closed-globe traumatic hyphema: implications for surveillance",
journal="American journal of ophthalmology",
year="2021",
author="Bowe, Theodore and Serina, Anthony and Armstrong, Mikhayla and Welcher, Jennifer and Adebona, Olumuyiwa and Gore, Charlotte and Staffa, Steven J. and Zurakowski, David and Shah, Ankoor S.",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="PURPOSE: To evaluate the timing of ocular hypertension (OHT) after pediatric closed-globe injury (CGI) and traumatic hyphema. We hypothesize that OHT will occur at different times based on injury characteristics. <br><br>DESIGN: Retrospective, cohort study. <br><br>METHODS: SETTING: : Single-center, tertiary-care, pediatric hospital. PARTICIPANTS: Subjects included patients ≤18 years of age at the time of injury who suffered CGI and traumatic hyphema between 2002 and 2019. OBSERVATION PROCEDURE(S): Intraocular pressure and injury demographics were abstracted for every visit after injury. OHT was defined as >21 mmHg at presentation or after a reading of ≤21 mmHg at a prior visit. MAIN OUTCOME MEASURES: The primary outcome measure was the timing of OHT categorized into 4 periods: presentation, acute (day 1-7), sub-acute (day 8-28), or late (day >28). Secondary outcome measures were identification of risks factors for OHT by multivariable logistic regression. <br><br>RESULTS: OHT occurred in 119 (39%) of the 305 subject eyes. OHT occurred in 35 patients at presentation, 69 times acutely, 35 times sub-acutely, and 36 times late. Pupil damage predicted acute-period OHT (p=0.004). OHT at presentation predicted sub-acute period OHT (p=0.004). Iridodialysis and cataract predicted late-period OHT (p=0.007 and p<0.001, respectively). <br><br>CONCLUSIONS: OHT after CGI and traumatic hyphema in pediatric patients is common. Injury demographics predict this complication. Integration of these risk factors with current literature allows proposal of a risk-stratification tool to guide efficient surveillance for OHT.<p /> <p>Language: en</p>",
language="en",
issn="0002-9394",
doi="10.1016/j.ajo.2021.04.033",
url="http://dx.doi.org/10.1016/j.ajo.2021.04.033"
}