Spontaneous orbital hemorrhage in adult females: A report of three cases

Masahiko Shimura, Motohiro Kiyosawa, Hiroko Aikawa, Teiji Tomiinag, Wataru Matsumoto, Makoto Tamai

Research output: Contribution to journalArticlepeer-review

17 Citations (Scopus)

Abstract

Three cases of spontaneous orbital hemorrhages in 3 adult females are reported. All of the patients had acute radiating pain in the orbit, vomiting and proptosis with a limitation of motility and ecchymosis of the eyelids. One was due to a large orbital varix with a preceding history of intermittent exophthalmos; the causes of the other cases could not be determined from their backgrounds. Within a few weeks, all of them had recovered from hematoma and had good prognoses without surgery. Orbital venous bleeding with 40 mm Hg pressure will cause more than 500 g tension on the four rectus muscles. To treat this clinical emergency, hemostasis with compression in the early phase and waiting for its spontaneous absorption are recommended.

Original languageEnglish
Pages (from-to)149-157
Number of pages9
JournalOphthalmologica
Volume205
Issue number3
DOIs
Publication statusPublished - 1992

Keywords

  • Orbital hematoma
  • Orbital hemorrhage spontaneous
  • Orbital varix

ASJC Scopus subject areas

  • Ophthalmology
  • Sensory Systems

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