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David J. Palmer, MD
Massachusetts Eye and Ear Infirmary Harvard Medical School Howe Laboratory of Ophthalmology Boston

JAMA. 1985;254(2):230.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

To the Editor.—

THE JOURNAL published an article by Schultz and de Camara¹ concisely delineating the diagnosis and treatment of minor and serious facial injuries. Traumatic hyphema should have been considered an addendum to the list of serious athletic facial injuries in Fig 1. In a series on soccerball-induced ocular injuries by Burke et al,² traumatic hyphema was observed in 50% of their patients. Although none experienced repeated bleeding, secondary hemorrhage is a potential risk that can occur in up to 38% of blunt ocular injuries.³ If the rebleeding results in a total hyphema, as observed in one third of all secondary hemorrhages in one study,⁴ then the incidence of good recovery visual acuity (>20/50) is markedly reduced. Furthermore, sequelae such as optic atrophy, elevated intraocular pressure, peripheral anterior synechiae, and corneal blood staining may occur.

Although subconjunctival injuries can be minor, they may mask more . . . [Full Text PDF of this Article]

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