Authors: V. Krejsa 1; Petr Matoušek 1,2; Karol Zeleník 1,2; M. Plášek 1,2; Pavel 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
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
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