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Year : 2017  |  Volume : 110  |  Issue : 4  |  Page : 141-142

Delayed retrobulbar hemorrhage after reconstruction of inferior orbital wall fracture: a case report

1 Department of Opthalmology, Eye Research Center, Farabi Eye Hospital, Tehran University of Medical Sciences, Iran
2 Department of Opthalmology, Eye Research Center, Rassoul Akram Hospital, University of Medical Sciences, Tehran, Iran

Correspondence Address:
Pasha Anvari
Eye Research Center, Rassoul Akram Hospital, Iran University of Medical Sciences, Tehran
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ejos.ejos_34_16

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A 25-year-old man presented with enophthalmos and hypophthalmos in the left eye, underwent orbital floor reconstruction. Three days after the initial surgery, the patient’s visual acuity (VA) reduced to finger counting at 3 m, intraocular pressure increased to 32 mmHg, and relative afferent pupillary defect was detected. Further, spiral computed tomography demonstrated retrobulbar hemorrhage. After cantholysis and canthotomy, the VA was 20/200, 4 h postoperatively. Within 3 days, VA improved to 10/10. Physicians should have a heightened index of suspicion and awareness of this uncommon complication.

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