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Related Experiment Videos

Traumatic hyphema in an urban population.

T C Spoor1, G M Kwitko, J M O'Grady

  • 1Kresge Eye Institute, Wayne State University, Detroit, MI 48201.

American Journal of Ophthalmology
|January 15, 1990
PubMed
Summary

Traumatic hyphema patients, particularly black individuals, face a high risk of secondary hemorrhage. Hospitalization and aminocaproic acid treatment are recommended to reduce this risk and prevent ocular damage.

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Area of Science:

  • Ophthalmology
  • Trauma Care

Background:

  • Traumatic hyphema is a common ocular injury.
  • Secondary hemorrhage is a significant complication of traumatic hyphema.

Purpose of the Study:

  • To investigate the incidence and risk factors for secondary hemorrhage in traumatic hyphema.
  • To evaluate the efficacy of aminocaproic acid in preventing secondary hemorrhage.

Main Methods:

  • Retrospective review of 241 patients treated for traumatic hyphema between 1980 and 1989.
  • Analysis of patient demographics, initial hyphema severity, and treatment outcomes.

Main Results:

  • Secondary hemorrhage occurred in 19% of patients, with a significantly higher rate in black patients (P < .005).
  • Patients with initial hyphema filling <25% of the anterior chamber were more likely to develop secondary hemorrhage.

Related Experiment Videos

  • Aminocaproic acid treatment was associated with a lower rate of secondary hemorrhage (11%) compared to no treatment (21%).

    • Conclusions:

    • Black patients with traumatic hyphema are at increased risk for secondary hemorrhage.
    • Hospitalization and aminocaproic acid administration are beneficial in managing traumatic hyphema and preventing secondary hemorrhage.