A Clinical Study of Traumatic Hyphema.

Lee, Min Jae; Jung, Yeon Chul; Chang, Kwang

Original Article

Journal of the Korean Ophthalmological Society 1991;32(12):1130-1136.
Published online December 1, 1991.

A Clinical Study of Traumatic Hyphema.

Min Jae Lee, Yeon Chul Jung, Kwang Chang

Department of Ophthalmology, Joong-ang Gil Hospital, Incheon, Korea.

외상성 전방출혈에 대한 임상적 고찰

이민재(Min Jae Lee),정연철(Yeon Chul Jung),장광(Kwang Chang)

Abstract

Traumatic hyphema accounts for about 6.7% of ocular trauma and its visual threatening associated ocular injuries are commotio retinae, retinal detachment, macular hole. cataract and rebleeding. The authors reviewed the medical records of 98 patients (98 eyes) having been admitted to the Joongang Gil Hospital between March 1989 and February 1991 with the diagnosis of nonperforating traumatic hyphema. Prospective study was performed as to the effect of epsilon-aminocaproic acid (EACA) in the clearance time of blood clot in the anterior chamber and the frequency of rebleeding. The avlrage clearance time of blood clot was significantly longer in the EACA treated group (5.8 days) than in the control group (3.5 days)(t-Test P<0.01). The frequency of rebleeding was not statistically significantly different between the EACA treated group (3.9%, 2/52 patients) and the control group (87%, 4/46 patients)(X2-Test P>0.05).

Key Words: epsilon-Aminocaproic Acid;Rebleeding;Traumatic Fyphema