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.
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.
