Spontaneous retrobulbar hemorrhage in a patient with breast cancer: A case report

Rajabi, Mohammad Taher; Hassanpoor, Narges; Parsa, Razieh; Niyousha, Mohamad Reza

doi:10.1016/j.joco.2015.12.004

Cited by 5 publications

(2 citation statements)

References 8 publications

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“…2,3,8,9 Additionally, spontaneous RBH may be related to changes in coagulation, such as warfarin toxicity, heparin treatment, scurvy, idiopathic thrombocytopenic purpura, breast cancer, and systemic thrombolytic agents. [10][11][12][13][14][15][16][17] In a case series with 115 cases of spontaneous RBH presentations, about 90% of these cases were due to orbital vascular malformations, and about 10% were due to predisposing factors such as coagulopathies, hypertension, or activities that can increase strain or intra-abdominal pressure. 1 The coagulopathies examined include deep venous thrombosis, Henoch-Schonlein purpura, and elevated prothrombin and partial thromboplastin times without a specific coagulation diagnosis.…”

Section: Discussionmentioning

confidence: 99%

Lateral Canthotomy and Cantholysis for Spontaneous Retrobulbar Hemorrhage With Normal Intraocular Pressures: Case Report and Review of the Literature

Lem

Oyur

LaBove

et al. 2022

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Spontaneous retrobulbar hemorrhage (RBH) is uncommon and typically occurs secondary to vascular malformations, coagulopathies, hypertension, or strenuous activities in the setting of elevated intraocular pressure (IOP). RBH can cause orbital compartment syndrome (OCS) with resultant permanent vision loss. We present a case of spontaneous RBH in an 18-year-old male with a history of acute lymphoblastic leukemia (ALL) and sepsis. While IOPs were normal, the patient exhibited symptoms of OCS in which a lateral canthotomy and cantholysis were performed. This case highlights the importance of the clinical exam when treating a patient with suspected OCS and demonstrates that intraocular pressures need not be elevated for both diagnosis and intervention.

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Section: Discussionmentioning

confidence: 99%

Lateral Canthotomy and Cantholysis for Spontaneous Retrobulbar Hemorrhage With Normal Intraocular Pressures: Case Report and Review of the Literature

Lem

Oyur

LaBove

et al. 2022

FACE

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“…The search phrase ‘breast cancer metastasis to the orbit’, ‘metastatic breast cancer to orbit’, and ‘orbital metastasis from breast cancer’ identified 101 cases. 3…”

Section: Methodsmentioning

confidence: 99%

A ‘never miss’ diagnosis: Ptosis secondary to metastatic breast cancer diagnosed as involutional ptosis and a review of the literature

Safi

Fethat

Silkiss

2021

SAGE Open Medical Case Reports

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We present a case of ptosis secondary to metastatic lobular carcinoma of the breast which was initially diagnosed as involutional ptosis. A 67-year-old woman previously diagnosed with lobular carcinoma of the breast presented to our clinic with mild restriction of lateral gaze and persistent droopiness of her right eyelid (associated with decreased levator function) despite recent repair of a suspected involutional ptosis. Orbital magnetic resonance imaging revealed a mass in the right orbit which was biopsied and diagnosed as lobular carcinoma of the breast. Poor levator function is rarely present in involutional ptosis. Especially in conjunction with abnormal extraocular motility, other etiologies of acquired ptosis must be considered. This case highlights the importance of patient history and ocular examination in identifying the underlying etiology of ptosis. A review of the literature to evaluate the incidence of signs and symptoms associated with metastatic breast cancer to the orbit is included.

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Tamoxifen

2016

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Spontaneous retrobulbar hemorrhage in a patient with breast cancer: A case report

Cited by 5 publications

References 8 publications

Lateral Canthotomy and Cantholysis for Spontaneous Retrobulbar Hemorrhage With Normal Intraocular Pressures: Case Report and Review of the Literature

Lateral Canthotomy and Cantholysis for Spontaneous Retrobulbar Hemorrhage With Normal Intraocular Pressures: Case Report and Review of the Literature

A ‘never miss’ diagnosis: Ptosis secondary to metastatic breast cancer diagnosed as involutional ptosis and a review of the literature

Tamoxifen

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