Background & Objectives: Hyphema is defined as blood accumulation in the anterior chamber, of its common causes is the blunt trauma. Hyphema is associated with several complication that secondary hemorrhage is of most important complications. This study undertaken to determine effect of Tranexamic Acid on preventing the recurrent hemorrhage in traumatic hyphema. Methods: This study was a Randomized Controlled Trial one that is accomplished on the 54 patients suffered by traumatic hyphema that were referred to ophthalmology clinic of Alavi Hospital. Twenty eight patient received TEA plus routine treatment and twenty six patients received routine treatment alone. Patients without exclusion criteria including history of eye surgery, Glaucoma, Leukemia, Diabetes Mellitus, Coagulopathy, Rheumatoid Arthritis, Optic nerve atrophy, Uveit, antifibrinolytic and topical steroid intake history entered the study. Visual acuity, rebleed rate, intraocular pressure, hyphema grading and Secondary hemorrhage were measured. Descriptive analysis was performed to summarize patients' demographic characteristics and disease conditions. Students T test and q square and nonparametric tests were carried out to compare the distribution difference between treatment and control groups.