Paracentesis as surgical intervention in traumatic hyphaema: opinions and practices of nigerian ophthalmologists.

Ophthalmology and eye diseases Pub Date : 2012-08-30 Print Date: 2012-01-01 DOI:10.4137/OED.S9411

Okosa Michael Chuka, Onyekwe Lawrence Obizoba

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引用次数: 3

Abstract

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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作为外伤性垂体出血的外科干预:尼日利亚眼科医生的意见和实践。

导言:外伤性肺水肿治疗的各个方面都存在争议。手术是为了防止并发症的发生:视神经萎缩和角膜血染，如果其中一种或两者都存在高风险。被认为是高风险的情况没有得到普遍的共识。目的:确定尼日利亚眼科医生认为闭合性眼球外伤性血肿采用前房穿刺和血肿冲洗手术干预的绝对指征，评估这些绝对指征，并试图在共识和分歧的基础上制定手术干预指南。方法:采用半结构化、预测问卷，采用SPSS 11软件对问卷结果进行分析。结果:早期角膜血染和镰状细胞血红蛋白病的适应症基本一致。不同的观点关于黑球，体积和持续时间的水肿和继发性高血压相关的水肿。然而，外科手术似乎比其他地方的医生认为必要的要早。结论:术前应对非手术治疗的风险水平与手术的风险和获益进行个体化评估。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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