Retrobulbar hemorrhage

Incidence and management of retrobulbar hemorrhage after blowout fracture repair

BMC Ophthalmology ◽

10.1186/s12886-021-01943-1 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Jae Hwi Park ◽

Inhye Kim ◽

Jun Hyuk Son

Keyword(s):

Medical Center ◽

Rare Complication ◽

Fracture Repair ◽

Control Group ◽

Orbital Decompression ◽

Secondary Surgery ◽

Orbital Surgery ◽

Exact Test ◽

Blowout Fracture ◽

Retrobulbar Hemorrhage

Abstract Background Retrobulbar hemorrhage (RBH) is a rare complication after orbital surgery but associated with ocular complications including blindness. The aim of this study was to identify clinical characteristics of patients with RBH requiring emergent orbital decompression after blowout fracture repair. Method A retrospective review of 426 blowout fracture patients at a tertiary oculoplastic clinic provided data regarding demographics, physical examination findings, and computed tomography (CT) images. Extraocular motility had been recorded in patient charts on a scale from 0 to − 4. Patients requiring emergent orbital decompression due to RBH after surgery (RBH group) were compared with those who did not (Control group), using the Mann-Whitney U-test. Incidences of RBH according to primary or secondary surgery were also investigated, using Fisher’s exact test. Result Five (1.2%) of the 426 patients who underwent blowout fracture repair developed RBH requiring emergent intervention. All RBH patients fully recovered after the decompression procedure or conservative treatment. Number of days to surgery was significantly longer in the RBH group (97.0 ± 80.1) than in the Control group (29.0 ± 253.0) (p = 0.05). Preoperative enophthalmos was also significantly greater in the RBH group (RBH vs. Control group, 3.6 ± 1.7 mm versus 1.2 ± 1.3 mm (p = 0.003)). The incidence of RBH was significantly higher in patients that underwent secondary surgery (odds ratio = 92.9 [95% confidence interval, 11.16–773.23], p = 0.001). Conclusions Surgeons should pay more attention to hemostasis and postoperative care in patients with a large preoperative enophthalmic eye, when time from injury to surgery is long and in revision cases. When RBH occurs, time to intervention and surgical decompression is critical for visual recovery and preventing blindness. Trial registration The institutional review board of the Yeungnam University Medical Center approved this study (YUMC 2018-11-010), which was conducted in accord with the Declaration of Helsinki.

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Spontaneous retrobulbar hemorrhage in a patient with breast cancer: A case report

Journal of Current Ophthalmology ◽

10.1016/j.joco.2015.12.004 ◽

2016 ◽

Vol 28 (1) ◽

pp. 48-51 ◽

Cited By ~ 3

Author(s):

Mohammad Taher Rajabi ◽

Narges Hassanpoor ◽

Razieh Parsa ◽

Mohamad Reza Niyousha

Keyword(s):

Breast Cancer ◽

Case Report ◽

Retrobulbar Hemorrhage

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A Case of a Spontaneous Self-resolving Retrobulbar Hemorrhage Following 3,4-Methylenedioxy-methamphetamine Use

Ophthalmic Plastic and Reconstructive Surgery ◽

10.1097/iop.0000000000000810 ◽

2017 ◽

Vol 33 (4) ◽

pp. e100-e101 ◽

Cited By ~ 1

Author(s):

Jordan V. Chervenkoff ◽

Saul N. Rajak ◽

Dinesh Selva ◽

Garry Davis

Keyword(s):

Methamphetamine Use ◽

Retrobulbar Hemorrhage

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Traumatic and Iatrogenic Retrobulbar Hemorrhage: An 8-Patient Series

Journal of Oral and Maxillofacial Surgery ◽

10.1016/j.joms.2012.05.007 ◽

2012 ◽

Vol 70 (8) ◽

pp. e464-e468 ◽

Cited By ~ 22

Author(s):

Giacomo Colletti ◽

Davide Valassina ◽

Dimitri Rabbiosi ◽

Marco Pedrazzoli ◽

Giovanni Felisati ◽

...

Keyword(s):

Patient Series ◽

Retrobulbar Hemorrhage

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Cataract Surgery in the Face of Retrobulbar Hemorrhage

Ophthalmology ◽

10.1016/s0161-6420(92)31998-0 ◽

1992 ◽

Vol 99 (2) ◽

pp. 170

Author(s):

Louis J. Girard

Keyword(s):

Cataract Surgery ◽

The Face ◽

Retrobulbar Hemorrhage

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Transconjunctival Cryo-Assisted Extraction of Intraconal Cavernous Hemangioma

10.21203/rs.2.14177/v1 ◽

2019 ◽

Author(s):

Ayman E Abd El Ghafar ◽

Sameh M Saleh ◽

Ahmed S Elwehidy

Keyword(s):

Visual Acuity ◽

Optic Nerve ◽

Postoperative Complications ◽

Cavernous Hemangioma ◽

Effective Technique ◽

Safety And Efficacy ◽

Transconjunctival Approach ◽

Subconjunctival Hemorrhage ◽

Assisted Extraction ◽

Retrobulbar Hemorrhage

Abstract Background The aim of this study is to evaluate the safety and efficacy of transconjunctival cryo-assisted orbitotomy for extraction of intraconal cavernous hemangioma. Methods The study was performed at the Mansoura ophthalmic center, Mansoura University, Egypt from May 2015 to August 2018. It included 18 patients with orbital intraconal cavernous hemangioma. In all cases, preoperative orbital MRI with contrast was performed, transconjunctival approach was used and cryo-assisted extraction of the lesion was performed. Cases were followed for six months after surgery. Results This study included 18 patients with intraconal cavernous hemangioma, ten females (55.6%) and eight males (44.4%) with a mean age 35.6 years. All lesions were located in the intraconal space, eight cases (44.5%) were lateral to the optic nerve, four cases (22.2%) were above the optic nerve, and six cases (33.3%) were below the optic nerve. Postoperative complications included three cases (16.7%) that showed postoperative diplopia due to lateral rectus paresis that improved in all cases within six months, one case (5.6%) that showed postoperative retrobulbar hemorrhage and proptosis that resolved within two weeks without sequelae, and four cases (22.2%) that showed subconjunctival hemorrhage, which resolved within two weeks. Of the two cases with drop of visual acuity preoperative, one case (5.6%) showed improvement of visual acuity and one case (5.6%) did not improve. Conclusions Transconjunctival cryo-assisted extraction of intraconal cavernous hemangioma represents a safe more conservative and effective technique.

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