[Home ] [Archive]   [ فارسی ]  
:: Volume 23, Issue 2 (Iranian Journal of Ophthalmology 2011) ::
2011, 23(2): 69-71 Back to browse issues page
Retrobulbar Hemorrhage after Blowout Fracture Reconstruction: A Case Report
Bahram Eshraghi Dr., Alireza Keshtcar Jafari Dr., Babak Masoomian Dr. *
, bmpk2001@yahoo.com
Abstract:   (12710 Views)

Purpose : To report a case of total blindness a few hours after orbital blowout fracture repair the visual acuity (VA) returned to normal after immediate reoperation.

Case report : A 21-year-old man with obvious enophthalmos in the left side, 2 weeks after car accident, was candidate for orbital floor reconstruction surgery. Anterior orbitotomy from subcilliary incision was done and at the end of the surgery, titanium medpore inserted in orbital floor. Three hours after surgery patient complained of severe pain and a significant proptosis was noticed. VA was no light perception (NLP) and relative afferent pupillary defect (RAPD) was positive. The patient reoperated and medpore plate was removed. There was significant blood in orbital cavity that was totally removed. Three hours after reoperation proptosis disappeared and VA improved to 3M count finger. One week after the surgery the VA was raised to 20/20.

Conclusion : Acute severe pain in the early postoperative period, may be a sign of the orbital hemorrhage. Awareness of the potential severity of this complication and execution of appropriate treatment with minimal delay, may result in rapid and complete visual recovery.

  

Iranian Journal of Ophthalmology 201123(2):69-71 © 2011 by the Iranian Society of Ophthalmology
Keywords: Blowout Fracture, Retrobulbar Hemorrhage, Blindness
Full-Text [PDF 216 kb]   (2672 Downloads)    
Type of Study: Case report | Subject: General
Send email to the article author

Add your comments about this article
Your username or Email:

Write the security code in the box >



XML     Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Eshraghi B, Keshtcar Jafari A, Masoomian B. Retrobulbar Hemorrhage after Blowout Fracture Reconstruction: A Case Report. Iranian Journal of Ophthalmology. 2011; 23 (2) :69-71
URL: http://irjo.org/article-1-475-en.html
Volume 23, Issue 2 (Iranian Journal of Ophthalmology 2011) Back to browse issues page
مجله چشم پزشکی ایران Iranian Journal of Ophthalmology
Persian site map - English site map - Created in 0.047 seconds with 788 queries by yektaweb 3571