Crouch E R
J Pediatr Ophthalmol Strabismus. 1986 Mar-Apr;23(2):95-7. doi: 10.3928/0191-3913-19860301-12.
Multiple modalities of treatment for traumatic hyphema have been advocated in the past. Therapy should be directed at reducing the risk of secondary hemorrhage and the potentially devastating complications of corneal blood staining and optic atrophy. Therapeutic regimens proven successful include: a patch and shield to the traumatized eye; daily visual acuity and slit-lamp biomicroscopy, including intraocular pressure, evaluation of corneal clarity, and size of hyphema; topical atropine; the systemic administration of aminocaproic acid; and topical and systemic antiglaucomatous medications with elevated intraocular pressure. Surgical intervention should generally be avoided in hyphemas of less than 50%. In larger hyphemas, there are definite indications for surgical intervention. Preferred surgical methods include: irrigation and aspiration, and hyphema evacuation by vitrectomy instrumentation.
过去曾提倡采用多种治疗外伤性前房积血的方法。治疗应旨在降低继发性出血的风险以及角膜血染和视神经萎缩等潜在的毁灭性并发症的风险。已被证明成功的治疗方案包括：对受伤眼睛使用眼罩和护罩；每日进行视力和裂隙灯生物显微镜检查，包括眼压、角膜清晰度评估和前房积血大小评估；局部使用阿托品；全身应用氨基己酸；以及眼压升高时使用局部和全身抗青光眼药物。对于前房积血少于50%的情况，一般应避免手术干预。在前房积血较多的情况下，有明确的手术干预指征。首选的手术方法包括：冲洗和抽吸，以及使用玻璃体切割器械清除前房积血。
