Browse > Article

Delayed Retrobulbar Hemorrhage after Orbital Floor Reconstruction  

Lee, Seung-Woo (Department of Plastic and Reconstructive Surgery, Sanggye Paik Hospital, Inje University College of Medicine)
Choi, Young-Woong (Department of Plastic and Reconstructive Surgery, Sanggye Paik Hospital, Inje University College of Medicine)
Nam, Sang-Hyun (Department of Plastic and Reconstructive Surgery, Sanggye Paik Hospital, Inje University College of Medicine)
Kim, Hoon (Department of Plastic and Reconstructive Surgery, Sanggye Paik Hospital, Inje University College of Medicine)
Publication Information
Archives of Plastic Surgery / v.37, no.4, 2010 , pp. 489-491 More about this Journal
Abstract
Purpose: Retrobulbar hemorrhage is a rare complication followed by blepharoplasty, trauma, orbital reconstruction, and so on. Most of the cases occur within 24 hours, half of them in the first 6 hours. Some authors have reported delayed retrobulbar hemorrhage after blepharoplasty and trauma within 1 day to 9 days. However, there have been few reports of delayed retrobulbar hemorrhage resulting from the complication of orbital reconstruction. Methods: A 22-year-old male underwent orbital floor reconstruction due to the orbital floor fracture. In 84 hours after the surgery, he complained sudden onset orbital pain and decreased visual acuity immediately after defecation. Intraocular pressure was unmeasurable due to the swelling at that time. Emergency computed tomography was performed. Results: Computed tomography revealed subperiosteal hematoma on inferior orbital wall extended to the apex. Emergency decompressive surgery was performed within 1 hour. After evacuation of hematoma, orbital symptom was improved and visual acuity was restored. Conclusion: Delayed retrobulbar hemorrhage is rare but vision-threatening. Therefore early diagnosis and treatment of delayed retrobulbar hemorrhage is thought to be crucial. The cause of delayed hemorrhage was not clear, however, valsalva maneuver might be the cause of hemorrhage.
Keywords
Delayed retrobulbar hemorrhage; Orbital floor fracture;
Citations & Related Records
연도 인용수 순위
  • Reference
1 Lee KH, Kim HS, Kang NH: Clinical experience of retrobulbar hematoma in closed reduction of zygoma fracture. J Korean Cleft Palate-Craniofac Assoc 5: 55, 2004
2 Lelli GJ Jr, Lisman RD: Blepharoplasty complications. Plast Reconstr surg 125: 1007, 2010   DOI   ScienceOn
3 Cullen GC, Luce CM, Shannon GM: Blindness following blowout orbital fractures. Ophthalmic Surg 8: 60, 1977
4 Gordon S, Macrae H: Monocular blindness as a complication of the treatment of a malar fracture. Plast Reconstr Surg 6: 228, 1950
5 Nicholson DH, Guzak SW: Visual loss complicating repair of orbital floor fractures. Arch Ophthalmol 86: 369, 1971   DOI   ScienceOn
6 Ord RA: Post-operative retrobulbar hemorrhage and blindness complicating trauma surgery. Br J Oral Surg 19: 202, 1981   DOI   ScienceOn
7 Girotto JA, Gamble WB, Robertson B, Redett R, Muehlberger T, Mayer M, Zinreich J, Iliff N, Miller N, Manson PN: Blindness after reduction of facial fractures. Plast Reconstr surg 102: 1821, 1998   DOI   ScienceOn
8 Hass AN, Penne RB, Stefanyszyn MA, Flanagan JC: Incidence of postblepharoplasty orbital hemorrhage and associated visual loss. Ophthal Plast Reconstr Surg 20: 426, 2004   DOI   ScienceOn