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November 1981

Traumatic Hyphema

Author Affiliations

Gainesville, Fla

Arch Ophthalmol. 1981;99(11):2053. doi:10.1001/archopht.1981.03930020931023

To the Editor.  —Spoor et al should be congratulated on their double-blind study on the management of traumatic hyphema that was published in the Archives (1980;98:116-119).Since the subsequent publication of our similar study1 that had a contrary finding—that oral steroids are effective in altering the course of traumatic hyphema by virtually eliminating bleeding episodes—we have tried to determine why the respective results differed.There are several substantial differences in the respective studies that may at least in part explain the different results.

  1. We administered steroids on a dosage based on the patient's weight, while Spoor et al administered steroids based on the patient's age. On the basis of standard weight charts, many children in the 7- to 10-year age group may have received substantially less steroids than our children.

  2. We gave steroids for five consecutive days in all cases to cover that period during which hyphemas are most

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