[Hyphema with secondary hemorrhage: think about sickle cell disease].
The Authors report a case of a 13-Year-old white child who presented a grade I hyphema, anterior chamber inflammation after trauma. He presented a secondary hemorrhage with increased intraocular pressure that was not controlled within 48 h, thus requiring surgical intervention. A hemoglobin electrophoresis and hemostasis test showed a sickle cell trait. After hemorrhage resorption, the ocular fundus showed substantial retinal hemorrhage. The final visual outcome was poor and attributed to optic atrophy. Sickle cell trait is a significant risk factor for secondary hemorrhage, increased intraocular pressure, and permanent visual impairement in children who have traumatic hyphemas following blunt trauma.
Karim
A
A
Service d'Ophtalmologie A, Hôpital des Spécialités, Rabat, Maroc. abdelouahedkarim@hotmail.com
Laghmari
M
M
Dahreddine
M
M
Guedira
K
K
Ibrahimy
W
W
Essakali
N
N
Mohcine
Z
Z
D000293:Adolescent; D000755:Anemia, Sickle Cell / Q000097:blood / Q000150:complications* / Q000175:diagnosis; D005131:Eye Injuries / Q000150:complications*; D006454:Hemoglobins / Q000032:analysis; D006801:Humans; D006988:Hyphema / Q000175:diagnosis* / Q000209:etiology; D007429:Intraocular Pressure; D008297:Male
D006454:Hemoglobins