Treatment of traumatic hyphaema

A series of 131 successive hospitalized cases of traumatic hyphaema after blunt injury of the eye were treated with complete bed-rest for 6 days and double eye-patching but without any topical medication. Seven patients (5.3%) had a secondary bleeding. The visual acuities of 115 patients were tested, and 105 regained their normal vision, i.e. 1.0 or over. These results are no better than those reported in series treated with moderate bed-rest for 3-4 days combined with topical administration of corticosteroids and mydriatics. The results indicate that our present treatment may be unnecessarily severe.