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Traumatic hyphema in a defined population.

R H Kennedy1, R F Brubaker

  • 1Department of Ophthalmology, Mayo Clinic.

American Journal of Ophthalmology
|August 15, 1988
PubMed
Summary

Traumatic hyphema incidence is higher in males, with sports injuries driving recent increases. Secondary hemorrhage risk is low, suggesting routine aminocaproic acid may not be beneficial.

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Area of Science:

  • Ophthalmology
  • Public Health

Background:

  • Traumatic hyphema is a significant ocular injury.
  • Understanding incidence trends and risk factors is crucial for prevention and management.

Purpose of the Study:

  • To determine the incidence of traumatic hyphema in Olmsted County, Minnesota, from 1960 to 1984.
  • To identify demographic and injury-related factors associated with traumatic hyphema and secondary hemorrhage.

Main Methods:

  • Retrospective population-based study using Olmsted County medical records.
  • Analysis of 248 diagnosed cases of traumatic hyphema between 1960 and 1984.
  • Calculation of incidence rates by sex and age, and assessment of risk factors for secondary hemorrhage.

Main Results:

  • The mean annual incidence rate was 12.2 per 100,000 population, significantly higher in males (20.2) than females (4.1).
  • A recent increase in incidence was linked to sports-related injuries.
  • Secondary hemorrhage occurred in 7.3% of patients, more frequently with larger initial hyphemas.

Conclusions:

  • Traumatic hyphema disproportionately affects males, with sports contributing to rising incidence.
  • The low risk of secondary hemorrhage suggests caution regarding routine aminocaproic acid use due to potential costs and risks.

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