[Skip to Content]
Access to paid content on this site is currently suspended due to excessive activity being detected from your IP address Please contact the publisher to request reinstatement.
[Skip to Content Landing]
March 1984

Traumatic Hyphema-Reply

Arch Ophthalmol. 1984;102(3):357-358. doi:10.1001/archopht.1984.01040030276014

This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables.


In Reply.  —Dr Witteman's data on traumatic hyphema are welcome and important. His suggestion that northern Europeans (and their descendents) have relatively low rebleed rates has intrigued me also, and it is possible that a true racial effect may exist. Other factors, such as severity of the trauma, associated damage to ocular structures, socioeconomic status, use of antiplatelet agents such as aspirin, and so on, may also influence the occurrence of this serious complication. In addition to the Scandinavian references cited, in Dr Witteman's letter, a current Swedish article reports a zero rate of secondary hemorrhage following traumatic hyphema.1 Conversely, North American reports frequently show rebleed rates of 16% to 37%. (For reviews on this subject, see Gilbert and Jensen2 and Wilson.3) This higher rate of secondary hemorrhages has also been true of three separate studies done in the University of Illinois Eye and Ear Infirmary during

Vangsted P, Nielsen PJ:  Tranexamic acid and traumatic hyphaema: A prospective study . Acta Ophthalmol 1983;61:447-453.Article
Gilbert HD, Jensen AD:  Atropine in the treatment of traumatic hyphema . Ann Ophthalmol 1973;5:1297-1300.
Wilson FM II:  Traumatic hyphema . Ophthalmology 1980;910-918.
Read J, Goldberg MF:  Comparison of medical treatment for traumatic hyphema . Trans Am Acad Ophthalmol Otolaryngol 1974;78:799-806.
Crouch ER, Frenkel M:  Aminocaproic acid in the treatment of traumatic hyphema . Am J Ophthalmol 1976;81:355-360.
McGetrick JJ, Jampol LM, Goldberg MF, et al:  Aminocaproic acid decreases secondary hemorrhage after traumatic hyphema . Arch Ophthalmol 1983;101:1031-1033.Article
Uusitalo RJ, Saari MS, Aine E, et al:  Tranexamic acid in the prevention of secondary haemorrhage after traumatic hyphaema . Acta Ophthalmol Suppl 1981;59:539-545.Article
Varnek L, Dalsgaard A, Hansen JA, et al:  The effect of tranexamic acid on secondary haemorrhage after traumatic hyphaema . Acta Ophthalmol Suppl 1980;58:787-793.Article
Kamp-Mortensen K, Sjølie AK:  Secondary haemorrhage following traumatic hyphaema: A comparative study of conservative and tranexamic acid treatment . Acta Ophthalmol Suppl 1978;56:763-768.Article
Sjølie AK, Kamp-Mortensen K:  Traumatic nyphaema treated ambulatory and without antifibrinolytic drugs . Acta Ophthalmol Suppl 1980;58:125-128.Article
Read JE, Goldberg MF:  Blunt ocular trauma and hyphema . Int Ophthalmol Clin 1974;14: 57-97.Article