• G W S Simanjuntak, G Farinthska, G A M Simanjuntak, W Artini, and R Natali.
• Department of Ophthalmology, Faculty of Medicine, Christian University of Indonesia; Cikini CCI Hospital, Cikini Eye Institute, Jakarta, Indonesia.
• Niger J Clin Pract. 2018 Jul 1; 21 (7): 921-924.

Objective: To report the risk factors for poor visual outcome in traumatic hyphema.Materials And MethodsA retrospective study was done by collecting data from medical records between January 2011 and December 2015 in Jakarta, Indonesia. Clinical data included initial visual acuity (IVA), final VA at 3 months, slit lamp evaluation with grading of hyphema, intraocular pressure, and fundus findings on direct or indirect ophthalmoscopy.ResultsThe study included 97 patients, with males showing a preponderance, the ratio being 9:1. Soft gun pellet was the most common cause (27.8%), others being workplace injuries (12.4%), sports injury (14.4%), traffic accident (2.1%), and other injuries (43.3%). Poor visual outcome was due to vitreous hemorrhage, cataract, iridodialysis, and choroidal rupture. On statistical analysis, significant risk factors were causality (P = 0.018), IVA (P = 0.026), onset of injury (0.000), and grade of hyphema (P = 0.000).ConclusionGrade of hyphema, IVA, causality, and onset of injury were significant risk factors related to poor visual outcome in traumatic hyphema.

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