All traumatic hyphema patients admitted to the Hospital for Sick Children in Toronto in the decade January 1979 to December 1988 were included in this prospective recall study. Patients with ocular abnormalities, elevated IOP or requiring antiglaucoma medication at three months post trauma, or those who required surgical intervention, were excluded from the study. A full undilated eye examination including gonioscopy was performed on all recalled patients, looking for angle recession and signs of glaucoma. 34 patients were seen. 30 patients showed significant angle recession.
Analysis predicts an incidence of glaucoma statistically less then that reported in adults.
Angle recession glaucoma is rare in the first decade post trauma in patients suffering traumatic hyphema as children. Please send comments and suggestions. You may also attach electronic files to e-mail.