The role of tranexamic acid (Cyklokapron) in the treatment of traumatic hyphaema.

Thirty-five patients with traumatic hyphaema were studied. One group of 18 was treated routinely and the other group of 17 was treated additionally with cyklokapron (tranexamic acid) orally. Patients with other serious ocular injuries were excluded. The incidenceofsecondary haemorrhage, speed of recovery and the final visual acuity were noted. It was found that the majority of patients treated with tranexamic acid from the day of admission did not have secondary haemorrhage, though it took a little longer for the hyphaema to clear. The importance of treating all patients with traumatic hyphaema on admission with tranexamic acid is emphasised.