Outpatient management of small traumatic hyphaemas: Is it safe?

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Abstract

In this prospective study patients with small traumatic hyphaemas were managed as ambulatory outpatients. No routine systemic or topical treatment was given. The patients were reviewed daily in the Casualty Department until the blood had cleared, after which they were examined fully. The incidence of rebleeding and the number of days for the blood to clear were comparable to figures for hospitalised bed-bound patients. Nine patients (21%) defaulted from follow-up. Outpatient management of small traumatic hyphaemas is safe in compliant patients and may save valuable resources.

References

  1. 1

    Kearns P . Traumatic hyphaema: a retrospective study of 314 cases. Br J Ophthalmol 1991;75:137–41.

  2. 2

    Agapitos RJ, Noel L-P, Clark W . Traumatic hyphema in children. Ophthalmology 1987;94:1238–41.

  3. 3

    Sjolie AK, Martensen KK . Traumatic hyphema treated ambulatory and without antifibrinolytic drugs. Acta Ophthalmol 1980;58:125–8.

  4. 4

    Oksala A . Treatment of traumatic hyphaema. Br J Ophthalmol 1967;51:315–20.

  5. 5

    Edwards WC, Layden WE . Traumatic hyphema: a report of 184 consecutive cases. Am J Ophthalmol 1973;75:110–16.

  6. 6

    Ng CS, Sparrow JM, Strong NP, Rosenthal AR . Factors related to final visual outcome of 425 patients with traumatic hyphaema. Eye 1992;6:305–8.

  7. 7

    Darr JL, Passmore JW . Management of traumatic hyphema. Am J Ophthalmol 1967;63:134–6.

  8. 8

    Wright KW, Sundip M, Urrea D . Bed rest versus activity ad lib in the treatment of small hyphemas. Ann Ophthalmol 1988;20:143–5.

  9. 9

    Clever VG . Home care of hyphema. Ann Ophthalmol 1982;14:25–27.

  10. 10

    Witteman GJ, Brubaker SJ, Johnson M, Marks RG . The incidence of rebleeding in traumatic hyphema. Ann Ophthalmol 1985;17:525–9.

  11. 11

    Rakusin W . Traumatic hyphaema. Am J Ophthalmol 1972;74:284–95.

  12. 12

    Wilson FM . Traumatic hyphaema: pathogenesis and management. Ophthalmology 1990;87:910–19.

  13. 13

    Ng CS, Sparrow JM, Strong NP, Rosenthal AR . Factors relating to the incidence of secondary haemorrhage in 462 patients with traumatic hyphaema. Eye 1992;6:308–13.

  14. 14

    Crouch ER, Frenkel M . Aminocaproic acid in the treatment of traumatic hyphaema. Am J Ophthalmol 1976;81:355–60.

  15. 15

    Farber MD, Fiscella R, Goldberg MF . Aminocaproic acid versus prednisolone for the treatment of traumatic hyphema. Ophthalmology 1991;98:279–86.

  16. 16

    Shamas HF, Mattai CS . Outcome of traumatic hyphema. Ann Ophthalmol 1975;7:701–6.

  17. 17

    Blanton FM . Anterior chamber angle recession and secondary glaucoma. Arch Ophthalmol 1964;72:39–43.

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Correspondence to Cathy Williams.

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Keywords

  • Ambulatory
  • Hyphaema
  • Rebleeding

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