ĐẶC ĐIỂM LÂM SÀNG VÀ KẾT QUẢ ĐIỀU TRỊ BAN ĐẦU XUẤT HUYẾT TIỀN PHÒNG DO CHẤN THƯƠNG ĐỤNG DẬP TẠI BỆNH VIỆN HỮU NGHỊ VIỆT TIỆP

Abstract

Objective: To describe the clinical characteristics and initial treatment outcomes of traumatic hyphema following blunt ocular injury in patients treated at the Department of Ophthalmology, Viet Tiep Friendship Hospital from January 2024 to May 2026.

Methods: A retrospective descriptive study was conducted on 80 eyes of 80 patients diagnosed with traumatic hyphema secondary to blunt ocular injury.

Results: A total of 80 patients were included in the study, with males accounting for 80.0%, predominantly of working age. The most common causes of injury were occupational and domestic accidents. Overall, 77.5% of patients presented to the hospital within 6 hours after trauma. Grade III hyphema was the most frequent presentation (45.0%), followed by grade IV (30.0%). After treatment, complete hyphema resolution was achieved in 53.8% of eyes. Visual acuity improved, with an increased proportion of eyes achieving good or fair vision, while the proportion of blindness decreased markedly. The proportion of eyes with normal intraocular pressure increased from 85.0% to 91.2%. The most common post-treatment complications were elevated intraocular pressure (8.8%) and recurrent hyphema (7.5%).

Conclusions: Traumatic hyphema following blunt ocular injury predominantly occurred in working-age men. Most patients presented early and had grade III or IV hyphema. Initial treatment achieved favorable outcomes by reducing the severity of hyphema, improving visual acuity, maintaining normal intraocular pressure in most cases, and resulting in a low rate of post-treatment complications.