title: Is topical corticosteroid necessary in traumatic hyphema?
abstract: OBJECTIVE
  To compare the outcomes in the management of traumatic hyphema treated with topical corticosteroid plus supportive therapy versus only supportive therapy.
  
  
  METHODS
  In this retrospective study, 206 patients were divided into two groups; group I, 98 eyes were treated with topical corticosteroid 12 × 1 and supportive therapy including bed rest, keeping the head elevated (45 degrees), and hydration. In group II, 108 eyes were treated with only supportive therapy. Hyphema size, initial and final visual acuities and intraocular pressure, time to hyphema clearance, and incidence of rebleeding were evaluated.
  
  
  RESULTS
  The time needed for hyphema resorption in the two groups were 60.25 ± 33.9 and 62.3 ± 28.9 hours respectively (P=0.62). There was no significant difference in rebleeding rate between the topical corticosteroid group (4.01%) and non-steroid group (6.48%) (P=0.67). The initial and final visual acuities were similar in the two groups (P=0.86). In Groups I and II, the average intraocular pressures were 19.7 ± 8.01 and 14.2 ± 10.2 mmHg respectively. The difference between the two groups was statistically significant (P=0.04).
  
  
  CONCLUSIONS
  Patients who were treated with topical corticosteroids were no less likely to experience a rebleed or a poor visual outcome than those treated with supportive therapy alone. Supportive therapy alone may be convenient and cost-effective management strategy in uncomplicated traumatic hyphema.
authors.affiliation: Akdeniz University, Department of Ophthalmology, 07100 Antalya, Turkey. Electronic address: drelifbetul@yahoo.com.
authors.forename: E B
authors.initials: EB
authors.lastname: Türkoğlu
authors.affiliation: Bolu Gerede State Hospital Department of Ophthalmology, Seviller St., 14900 Gerede-Bolu, Turkey.
authors.forename: T
authors.initials: T
authors.lastname: Celik
authors.affiliation: Sakarya University Training and Research Hospital Department of Ophthalmology, 54180 Sakarya, Turkey.
authors.forename: E
authors.initials: E
authors.lastname: Celik
authors.affiliation: Sakarya University Training and Research Hospital Department of Ophthalmology, 54180 Sakarya, Turkey.
authors.forename: N
authors.initials: N
authors.lastname: Ozkan
authors.affiliation: Sakarya University Training and Research Hospital Department of Ophthalmology, 54180 Sakarya, Turkey.
authors.forename: O
authors.initials: O
authors.lastname: Bursalı
authors.affiliation: Sakarya University Training and Research Hospital Department of Ophthalmology, 54180 Sakarya, Turkey.
authors.forename: S B
authors.initials: SB
authors.lastname: Coşkun
authors.affiliation: Sakarya University Training and Research Hospital Department of Ophthalmology, 54180 Sakarya, Turkey.
authors.forename: G
authors.initials: G
authors.lastname: Alagoz
mesh_terms: D060433:Administration, Ophthalmic; D000293:Adolescent; D000305:Adrenal Cortex Hormones / Q000008:administration & dosage / Q000627:therapeutic use*; D000328:Adult; D000368:Aged; D000893:Anti-Inflammatory Agents / Q000008:administration & dosage / Q000627:therapeutic use*; D001510:Bed Rest; D002648:Child; D005131:Eye Injuries / Q000150:complications*; D005260:Female; D005440:Fluid Therapy; D006801:Humans; D006988:Hyphema / Q000188:drug therapy* / Q000209:etiology; D007429:Intraocular Pressure; D008297:Male; D008875:Middle Aged; D011187:Posture; D012008:Recurrence; D012189:Retrospective Studies; D016896:Treatment Outcome; D019564:Unnecessary Procedures; D014792:Visual Acuity; D014949:Wounds, Nonpenetrating / Q000150:complications*; D055815:Young Adult
chemical_list: D000305:Adrenal Cortex Hormones; D000893:Anti-Inflammatory Agents
keywords: Corticostéroïdes topiques; Hyphema; Hyphéma; Injury traumatic; Lésion traumatique; Steroid; Stéroïdes; Topical corticosteroid; Trauma blunt; Trauma eye; Trauma ocular; Traumatisme contondant; Traumatisme oculaire