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Blindness as a Result Late Therapy of Retrobulbar Hematoma


Authors: V. Krejsa 1;  P. Matoušek 1,2;  K. Zeleník 1,2;  M. Plášek 1,2;  P. Komínek 1,2
Authors‘ workplace: Klinika otorinolaryngologie a chirurgie hlavy a krku FN Ostrava, přednosta prof. MUDr. P. Komínek, Ph. D., MBA 1;  Katedra kraniofaciálních oborů, Lékařská fakulta, Ostravská univerzita, přednosta prof. MUDr. P. Komínek, Ph. D., MBA 2
Published in: Otorinolaryngol Foniatr, 67, 2018, No. 1, pp. 20-23.
Category: Case Reports

Overview

We present a case of a 73-year-old woman with retrobulbar hematoma, who lost vision due to a late assessment diagnosis and therapy. Retrobulbar hematoma is a medical emergency, which can result in irreversible visual impairment. The main clinical symptoms are decreasing visual acuity, pain, proptosis after trauma or sinus surgery in medical history. Diagnosis consists of medical history, physical examination, and imaging methods. Medical treatment options include surgery decompression and drugs, which decreaes intraorbital pressure.

Keywords:
retrobulbar hematoma, blindness, compartment syndrome, antiedema therapy, lateral canthotomy, inferior cantolysis


Sources

1. Brucoli, M., Arcuri, F., Giarda, M. et al.: Surgical management of posttraumatic intraorbital hematoma. J. Craniofac. Surg., 23, 2012, 1, s. 58-61.

2. Colletti, G., Valassina, D., Rabbiosi, D. et al.: Traumatic and iatrogenic retrobulbar hemorrhage: an 8-patient series. J. Oral Maxillofacial. Surg., 70, 2012, 8, s. 464-468.

3. Craig, D. Lewis, J., Perry D.: Retrobulbar hemorrhage. Expert Rev. Ophthalmol., 2, 2007, 4, s. 557-570.

4. Fattahi, T., Brewer, K., Retana, A. et al.: Incidence of Retrobulbar hemorrhage in the emergency department. J. Oral Maxillofacial. Surg., 72, 2014, 12, s. 2500-2502.

5. Gerbino, G., Ramieri, A.: Diagnosis and treatment of Retrobulbar haematomas following blunt orbital trauma: A description of eight cases. Int. J. Oral Maxillofac. Surg., 34, 2005, 2, s. 127-131.

6. Haddad, S., Hahn, B.: Visual diagnosis in emergency medicine: Retrobulbar haemorrhage. Emerg. Med. J., 12, 2013, s. 851-853

7. Kloss, B., Patel, R.: Orbital compartment syndrome from Retrobulbar hemorrhage. Int. J. Emerg. Med., 3, 2010, 4, s. 521-522.

8. McInnes, G., Howes, D.: Lateral canthotomy and cantholysis: a simple, vision-saving procedure. Canad. J. Emerg. Med, 4, 2002, 1, s. 49-52.

9. Myers, E. N., Snyder, C. H.: Operative otolaryngology: Head and neck surgery: Ferguson, B. J. Orbital complications of endoscopic sinus surgery. Chapter 19, 2, Edition 2, Elsevier Health Sciences, 2008, s. 139-142.

10. Rowh, A., Ufberg, J., Chan, T. et al.: Lateral canthotomy and cantholysis: emergency management of orbital compartment syndrome. J. Emerg. Med., 48, 2015, s. 325-330.

11. Trento, G. S., Moura, L. B. et al.: The importance of early diagnosis of Retrobulbar hemorrhage. J. Craniofac. Surg., 27, 2016, 6, s. 581-583.

12. Winterton, J., Patel, K., Mizen, K. D.: Review of management options for a Retrobulbar hemorrhage. J. of Oral and Maxillofacial. Surgery, 65, 2007, 2, s. 296-299.

Labels
Audiology Paediatric ENT ENT (Otorhinolaryngology)
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