Orbital haemorrhage induced by labour.

Abstract

A case of acute orbital haemorrhage induced by labour is reported in a woman giving birth for the eighth time. The diagnosis was confirmed by computed tomography. The haemorrhage subsided spontaneously within three weeks. The mechanism of orbital haemorrhage following certain kinds of strain is discussed.

Spontaneous Orbital Hemorrhage in Adult Females

“…Some venous ab normalities such as venous varix may be sus pected because intermittent exophthalmos was not fully excluded in these cases. Some Replacing vicariously the menses [7] Appearing at the climacteric [7] Toxic agents [7] authors have suggested the existence of ve nous anomalies in this disease [1,3,6]. In our cases, the symptoms of acute orbital pain, vomiting, proptosis with limitation of motility and ecchymosis of the eyelid oc curred.…”

“…They include vascular disor ders [1,[7][8][9], blood disorders [1,[10][11][12][13][14][15] and other generalized or local causes [1,2,4,6,7,16,17]. Case 1 was accompanied with vascular abnormalities.…”

“…Spontaneous orbital hemorrhage is a rare condition [1][2][3] with various causes, which shows acute ocular pain [1][2][3][4], proptosis [1][2][3][4][5][6], high intraocular pressure [5], nausea and vomiting [1][2][3] and reduced vision [1][2][3][4][5]. In some cases, preceding clinical signs such as intermittent proptosis showing vascular ab normality or subcutaneous hemorrhages re veal a tendency to bleed.…”

Posttraumatic subperiosteal orbital hematoma

“…It can also be caused by nontraumatic activity such as manual labour (Geyer et al, 1990), scuba diving (Chen and Kucharczyk, 1988), sinusitis (Leopold et al, 1980;Zalzal, 1991), weight lifting (Katz and Carmody, 1985), as blood coagulopathies (Guirgis et al, 2002) and venous malformations (Krohel and Wright, 1979). All these lead to blood vessel (usually venous) rupture and entrapping of the blood clot between the periosteum and underlying orbital bone.…”

“…There are also other reported causes of SOH, which all result in increased pressure of orbital veins. These include manual labour (Geyer et al, 1990), scuba diving (Chen and Kucharczyk, 1988), sinusitis (Leopold et al, 1980;Zalzal, 1991), weight lifting (Katz and Carmody, 1985), as blood coagulopathies (Guirgis et al, 2002) and venous malformations (Krohel and Wright, 1979) The diagnosis of traumatic SOH is easy to establish with computed tomography (CT) and magnetic resonance imaging (MRI), but in nontraumatic cases other pathologies should be considered (Lieger et al, 2007;Wanyura et al, 2007). In most instances SOH does not require urgent surgery.…”