Hemophthalmus - Causes, Symptoms and Treatment .MF .
hemophthalmus - is getting blood into the vitreous.There are partial, subtotal and total hemophthalmus.Total and subtotal hemophthalmus happens more often in heavy non-penetrating or penetrating injuries of the eye.Partial hemophthalmus mainly results from netyazhёlyh eye injury, diabetic retinopathy, hypertension, atherosclerosis, macular degeneration and other diseases in which blood vessels become very brittle.Hemophthalmus may also occur due to rupture or detachment of the retina, as well as open surgery due to the eyeballs.
hemophthalmus is total if bleeding takes more than ¾ of the volume of the vitreous, if bleeding takes from 1/3 to ¾ of volume, it is called a subtotal hemophthalmus, if hemophthalmus takes less than 1/3 of the volume of the vitreous body, it is called partial.
When hemophthalmus vitreous enter red blood cells, which in a few days begin to break down.From them comes hemoglobin, which is deposited in the form of grains, and the shell itself dissolves cells.Hemoglobin in turn i
a result hemophthalmus sharply reduced visual acuity, from the eye to the floating point or filaments, and even blindness.Normally, visual acuity in patients with chastichnymgemoftalmom better in the morning, when the blood of the night settles in the lower parts of the eyeball.
When the above-mentioned symptoms should immediately consult an ophthalmologist, not engaged in self-treatment, in view of the serious consequences of this disease.The physician is necessary to talk about when there were complaints, how they have changed over time, which were treated, were there any injuries, if still present some diseases.The doctor must perform an external examination of the eye, he draws attention to the exterior damage to the eyes, if any;examines the eye using a slit lamp, where a more detailed surveys eye structure (may be bleeding under the conjunctiva, may be present hyphema (bleeding into the anterior chamber of the eye -. the space between the iris and the cornea), etc. The doctor then proceeds to ophthalmoscopy Thus in the partial.hemophthalmus in the structure of the vitreous body floating while moving the eyeball blood clots can be identified, but the details of the fundus to examine possible and in full hemophthalmus fundus was not visible, and the lack of the red reflex of the fundus.
patient survey with hemophthalmia
condition of the retina and vitreous, and the nature hemophthalmus can be determined by ultrasound studies, and retinal function can be estimated by the method of chromatic electroretinography
in total and subtotal hemophthalmus is mandatory hospitalization..Treatment of partial hemophthalmus acceptable conduct in a polyclinic.hemophthalmus Treatment depends on its causes.It should be noted that the treatment of partial hemophthalmia the same as the total and subtotal but minimal intensity.The treatment is usually long.For partial hemophthalmus surgery is almost never used.
When "fresh" hemophthalmus mandatory bed rest with a bandage and cold (2-3 hours) in both eyes.To prevent the occurrence of new bleeding patient is prescribed calcium supplements inside intramuscular injections (10% solution of calcium gluconate), and topically as eyedrops 3% solution of calcium chloride.Also for this purpose is prescribed vitamins C, B2 and PP;menadione and Dicynonum.After 1-2 days after the onset of the disease designate absorbable drugs.Assign eye drops of potassium iodide, 0.1% solution or lidazy ronidazy (enzyme preparations).To prevent cords prescribe hormonal treatments (0.1% solution of dexamethasone or a 0.3% solution of prednisolone) in the form of eye drops and subconjunctival injections (ie injections under conjunctiva).Also to that end, appoint parabulbarno (ie "periocular") injection kollalizina (enzyme preparation, dissolving collagen), who spend a day in an amount of 10 injections per course;fibrinolizina injection lekozima (enzyme preparations).It recommended as an injection under the conjunctiva r-ra heparin (an anticoagulant - prevents blood clotting) and Streptodekaza (enzyme preparation, dissolving fibrin).Also, it is shown in this pathology intravenous 10% solution of sodium iodide (having resolving effect).Well proven autohaemotherapy: intramuscular injections of 2-4-6-8 ml of blood taken from the patient's vein.Also the positive effects observed by the application of an aloe extract, vitreous body by injection;useful as subcutaneous lidazy, electrophoresis fibrinolizina (enzyme preparation, has absorbing action), potassium iodide, lidazy, vitreous, and the first appointed electrophoresis lidazy 15-20 treatments of 15 minutes, and a month later - electrophoresis vitreous and potassium iodide on15 duration of treatment 15 minutes each.Showing as ultrasound treatments: fonoforez potassium iodide, aloe vera, heparin, as well as the treatment with the laser.Among the popular treatments for this pathology primenimagirudaterapiya (ie, treatment with leeches).
With the ineffectiveness of therapeutic treatment for the first 7-10 days prescribed surgery aimed at removing the blood from the cavity of the eyeball.
engaged in self-medication is not admissible in this pathology! In the absence of proper treatment of the blood streamed out forms coarse strands in the vitreous body, which can lead to retinal detachment, and atrophic changes of the eyeball, which, of course, is accompanied by loss of vision on the affected eye.
Forecast of view with partial hemorrhage is usually favorable, hemorrhage resolves and vision is restored, when subtotal and total hemorrhage poor prognosis.
For prevention of hemophthalmus need time to treat major diseases and to observe safety precautions when performing any manipulations that could lead to injury of the eye (eg, safety glasses).
Voach ophthalmologist Odnoochko EA