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Few complications following traumatic microhyphema, study says

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PHILADELPHIA — Complications following traumatic microhyphema are few when the hyphema is treated with standard measures, according to a study here. How closely these patients should be followed may be determined by intraocular pressure upon presentation, the study suggests.

Researchers at Wills Eye Hospital retrospectively reviewed records of 162 patients treated for traumatic microhyphema in the emergency department. Patients who were examined for 3 consecutive days and at 2 weeks after initial presentation were included. Patients with open-globe injuries were excluded.

IOP was elevated in 14 patients. In two patients, IOP increased after initial presentation. Of 150 patients with normal IOP at presentation, only one developed an elevated IOP high enough to warrant treatment. Rebleeding was seen in three patients. Rebleeding was not statistically associated with the use of topical corticosteroids.

The study is published in the August issue of Ophthalmology.