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Paracentesis as Surgical Intervention in Traumatic Hyphaema: Opinions and Practices of Nigerian Ophthalmologists

INTRODUCTION: Various aspects of management of traumatic hyphaema are enmeshed in controversy. Surgery is done to prevent complications: optic atrophy and corneal blood staining occurring if a high risk exists of either or both occurring. Circumstances considered high risk do not enjoy universal con...

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Autores principales: Chuka, Okosa Michael, Obizoba, Onyekwe Lawrence
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Libertas Academica 2012
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3619553/
https://www.ncbi.nlm.nih.gov/pubmed/23650459
http://dx.doi.org/10.4137/OED.S9411
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author Chuka, Okosa Michael
Obizoba, Onyekwe Lawrence
author_facet Chuka, Okosa Michael
Obizoba, Onyekwe Lawrence
author_sort Chuka, Okosa Michael
collection PubMed
description INTRODUCTION: Various aspects of management of traumatic hyphaema are enmeshed in controversy. Surgery is done to prevent complications: optic atrophy and corneal blood staining occurring if a high risk exists of either or both occurring. Circumstances considered high risk do not enjoy universal consensus. OBJECTIVES: To determine what Nigerian ophthalmologists consider absolute indications for surgical intervention by means of anterior chamber paracentesis and hyphaema washout in closed globe traumatic hyphaema, evaluate these absolute indications, and attempt to evolve a guideline for surgical intervention based on areas of consensus and disagreement. METHOD: A semi-structured, pre-tested questionnaire with responses analyzed with SPSS 11 software. RESULT: Near universal agreement on indication exist on early corneal blood staining and sickle cell haemoglobinopathy. Differing views concern blackball, volume and duration of hyphaema and secondary hypertension-associated hyphaema. However, it appears surgery is embarked on earlier than other practitioners elsewhere may consider necessary. CONCLUSION: Risk level for non-surgical management against risk and benefit of surgery should be evaluated for each individual before surgery.
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spelling pubmed-36195532013-05-06 Paracentesis as Surgical Intervention in Traumatic Hyphaema: Opinions and Practices of Nigerian Ophthalmologists Chuka, Okosa Michael Obizoba, Onyekwe Lawrence Ophthalmol Eye Dis Original Research INTRODUCTION: Various aspects of management of traumatic hyphaema are enmeshed in controversy. Surgery is done to prevent complications: optic atrophy and corneal blood staining occurring if a high risk exists of either or both occurring. Circumstances considered high risk do not enjoy universal consensus. OBJECTIVES: To determine what Nigerian ophthalmologists consider absolute indications for surgical intervention by means of anterior chamber paracentesis and hyphaema washout in closed globe traumatic hyphaema, evaluate these absolute indications, and attempt to evolve a guideline for surgical intervention based on areas of consensus and disagreement. METHOD: A semi-structured, pre-tested questionnaire with responses analyzed with SPSS 11 software. RESULT: Near universal agreement on indication exist on early corneal blood staining and sickle cell haemoglobinopathy. Differing views concern blackball, volume and duration of hyphaema and secondary hypertension-associated hyphaema. However, it appears surgery is embarked on earlier than other practitioners elsewhere may consider necessary. CONCLUSION: Risk level for non-surgical management against risk and benefit of surgery should be evaluated for each individual before surgery. Libertas Academica 2012-08-30 /pmc/articles/PMC3619553/ /pubmed/23650459 http://dx.doi.org/10.4137/OED.S9411 Text en © 2012 the author(s), publisher and licensee Libertas Academica Ltd. This is an open access article. Unrestricted non-commercial use is permitted provided the original work is properly cited.
spellingShingle Original Research
Chuka, Okosa Michael
Obizoba, Onyekwe Lawrence
Paracentesis as Surgical Intervention in Traumatic Hyphaema: Opinions and Practices of Nigerian Ophthalmologists
title Paracentesis as Surgical Intervention in Traumatic Hyphaema: Opinions and Practices of Nigerian Ophthalmologists
title_full Paracentesis as Surgical Intervention in Traumatic Hyphaema: Opinions and Practices of Nigerian Ophthalmologists
title_fullStr Paracentesis as Surgical Intervention in Traumatic Hyphaema: Opinions and Practices of Nigerian Ophthalmologists
title_full_unstemmed Paracentesis as Surgical Intervention in Traumatic Hyphaema: Opinions and Practices of Nigerian Ophthalmologists
title_short Paracentesis as Surgical Intervention in Traumatic Hyphaema: Opinions and Practices of Nigerian Ophthalmologists
title_sort paracentesis as surgical intervention in traumatic hyphaema: opinions and practices of nigerian ophthalmologists
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3619553/
https://www.ncbi.nlm.nih.gov/pubmed/23650459
http://dx.doi.org/10.4137/OED.S9411
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