Diagnosis and Treatment of Retrobulbar Hematoma Resulting from Blunt Periorbital Trauma

Rosdeutscher, John D.; Stadelmann, Wayne K.

doi:10.1097/00000637-199812000-00006

Cited by 43 publications

(27 citation statements)

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“…In these patients, eye dressings and pressure dressing should not be used; pressure dressing can increase intraorbital pressure, and also covering can delay early diagnosis. [32] Our patient's eye was not covered. Our patient with medial orbital wall fracture on the left had nasal congestion as well.…”

Section: Discussionmentioning

confidence: 78%

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Acute Retrobulbar Hemorrhage: an ophthalmologic emergency for emergency physician.

Pamukcu¹,

Odabasi

2015

Ulus Travma Acil Cerrahi Derg

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Acute retrobulbar haemorrhage (ARBH) is a rare ophthalmic emergency observed following blunt eye trauma. Multiple trauma and loss of consciousness can hide symptoms of ARBH. Rapid diagnosis and immediate lateral canthotomy and cantholysis must be performed to prevent permanent visual loss in patients. Medical treatment can be added to surgical therapy. Lateral canthotomy and cantholysis are simple procedures that can be performed by emergency physicians. In this report, it was aimed to present a case with post-traumatic ARBH and provide general knowledge about the diagnosis, follow-up and treatment of ARBH.

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Section: Discussionmentioning

confidence: 78%

“…Diagnosis can also be confirmed by ultrasonography (USG). [31,32] Magnetic resonance imaging is often performed later. In the USG scan, retrobulbar hematoma can be observed in front of the orbital bone and behind the globe as a hypoechoic lesion.…”

Section: Discussionmentioning

confidence: 99%

Acute Retrobulbar Hemorrhage: an ophthalmologic emergency for emergency physician.

Pamukcu¹,

Odabasi

2015

Ulus Travma Acil Cerrahi Derg

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“…The retrobulbar hematoma can be resulted from blunt trauma [2] or orbital surgery. Before using this method, I have an experience of a postoperative intraorbital hematoma in blow-out fracture case.…”

Section: Discussionmentioning

confidence: 99%

Idea on Prevention from Postoperative Intraorbital Hematoma in Orbital Surgery

Lee

2012

Indian J Otolaryngol Head Neck Surg

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The retrobulbar hematoma is a rare complication after orbital surgery. Despite of its rareness, the retrobulbar hematoma may be disastrous to the patient's vision (Chen et al. in J Craniofac Surg 20:963-967, 2009). Since 2007, I have applied the combined use of a scalp vein set and a vacuumed blood sampling bottle in all of the orbital surgeries. In my study, I achieved a good result, and I will introduce this simple method as one of alternatives for the prevention from the postoperative intraorbital hematoma including the retrobulbar hematoma.

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“…2 The clinical findings of exophthalmos, restriction of extraocular movements, and decreased visual acuity are of limited value when severe swelling prevents eyelid retraction. 3 Similarly, measurement of IOP or evaluation for an afferent pupillary defect can be inaccurate, technically challenging, or impossible in such a situation.…”

Section: Discussionmentioning

confidence: 99%

The “guitar pick” sign: a novel sign of retrobulbar hemorrhage

Theoret

Sanz

Matero

et al. 2011

CJEM

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Retrobulbar hemorrhage is a rare complication of blunt ocular trauma. Without prompt intervention, permanent reduction in visual acuity can develop in as little as 90 minutes. We report a novel bedside ultrasound finding of conical deformation of the posterior ocular globe: the ''guitar pick'' sign. In our elderly patient, the ocular globe shape normalized post-lateral canthotomy and inferior cantholysis. Identifying this sonographic finding may add to the clinical examination when deciding whether to perform decompression. RÉ SUMÉUne hé morragie ré trobulbaire est une complication rare d'un traumatisme oculaire pé né trant. Si l'on n'intervient pas rapidement, une ré duction permanente de l'acuité visuelle peut se produire en aussi peu que 90 minutes. Nous pré sentons un nouveau cas d'é chographie au chevet du patient pré sentant une dé formation conique du segment posté rieur du globe oculaire que nous avons baptisé le signe du « pic de guitare ». Chez notre sujet â gé , le globe oculaire a repris sa forme normale aprè s une canthotomie laté rale et une cantholyse infé rieure. L'utilisation de l'é chographie pour identifier ce signe peut constituer un outil complé mentaire à l'examen clinique visant à dé terminer l'indication de dé compression.

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Diagnosis and Treatment of Retrobulbar Hematoma Resulting from Blunt Periorbital Trauma

Cited by 43 publications

References 0 publications

Acute Retrobulbar Hemorrhage: an ophthalmologic emergency for emergency physician.

Acute Retrobulbar Hemorrhage: an ophthalmologic emergency for emergency physician.

Idea on Prevention from Postoperative Intraorbital Hematoma in Orbital Surgery

The “guitar pick” sign: a novel sign of retrobulbar hemorrhage

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