We report an experience of treatment in a case of retrobulbar hemorrhage and exophthalmos of the right eye by trauma. The patient was a 16 years old boy who had family and past history of hemophilia.
Adolescent ; Exophthalmos* ; Hemophilia A* ; Humans ; Male ; Retrobulbar Hemorrhage

PURPOSE: To report a case of retrobulbar hematoma within the lateral rectus muscle which resulted in sight-threatening complication. METHODS: A 40-year-old male presented with a chief complaint of painless mass and exophthalmos. Exicional biopsy via lateral orbitotomy and direct decompression of the muscle were performed to the diagnosis and treatment. RESULTS: After decompression, improvement of the exophthalmos was achieved. This case illustrated a potentially serious complication of retrobulbar hematoma following minor periorbital trauma. The successful outcome may be achieved by rapid diagnosis and intervention.
Adult ; Biopsy ; Decompression ; Diagnosis ; Exophthalmos ; Hematoma* ; Humans ; Male ; Retrobulbar Hemorrhage

Retrobulbar anesthesia, which is used in many intraocular surgery, is a safe and effective method of local anesthesia. However, it can cause certain disastrous complications such as retrobulbar hemorrhage and the retrobulbar hemorrhage can affect the operation itself and furthermore the result of the operation. In this paper, we present a case of the central retinal artery occlusion without retrobulbar hemorrhage after the retrobulbar anesthesia, and brief review of related literature was presented.
Anesthesia* ; Anesthesia, Local ; Hemorrhage* ; Retinal Artery Occlusion* ; Retinal Artery* ; Retrobulbar Hemorrhage

We experienced a case of retrobular hemorrhage during cardiopulmonary bypass. Following factors are suspected as the cause retrobulbar hemorrhage in this patient; l ) Rupture of preexisting AV malformation or aneurysm. 2) Accidental high flow to innominate artery by Coanda effect or miscannulation, 3) Obstruction of right jugular venous drainage and therefore cerebrofacial flow is increased, 4) Increase bleeding tendency during cardiopulmonary bypass. Fortunetely, patient has no neurologic complication and well recovered from retrobulbar hemorrhage.
Aneurysm ; Brachiocephalic Trunk ; Cardiopulmonary Bypass* ; Drainage ; Hemorrhage ; Humans ; Retrobulbar Hemorrhage* ; Rupture

Blepharoplasty is one of the most popular cosmetic surgical procedures for people who are concerned with minimizing the effects of aging and maintaining an aesthetically attractive appearance. If periorbital surgery is not performed by an expert, the risk of complications increases. In particular, retrobulbar hematoma, which is the most serious complication after blepharoplasty, can lead to permanent blindness. We report a rare case of unilateral permanent blindness due to careless and unprofessional treatment following a retrobulbar hematoma after lower blepharoplasty. In conclusion, it is necessary to check for symptoms and signs including pain, proptosis, visual acuity, and light reflex after the operation. Careful instructions should then be given to patients and their caregivers to avoid actions that may cause postoperative bleeding. We emphasize that if a patient complains of symptoms, painkillers should not be used and computed tomography should be performed for an accurate and rapid diagnosis. Appropriate procedures must then be taken to prevent permanent vision loss.
Aging ; Blepharoplasty ; Blindness ; Caregivers ; Diagnosis ; Exophthalmos ; Hematoma ; Hemorrhage ; Humans ; Reflex ; Retrobulbar Hemorrhage ; Visual Acuity

PURPOSE: To investigate the incidence of complication associated with repeated botulinum toxin chemodenervation in extraocular muscle. METHODS: 47 patients who had taken botulinum toxin chemodenervation from 1996 to November 2001 were reviewed retrospectively. 10 patients had taken repeated injection. Saline diluted botulinum toxin was directly injected into the extraocular muscle through the Teflon coated needle. RESULTS: In 10 patients, 5 patients had complications which were 2 cases of hypertropia, 2 cases of ptosis and 1 case of retrobulbar hemorrhage who was 44 year old woman taken 5 times of botulinum toxin injection. She was successfully treated with lateral canthotomy and cantholysis. CONCLUSIONS: Rate of complication in repeated botulinum toxin chemodenervation was not different from that of single procedure. We experienced one case of retrobulbar hemorrhage in 10 patients with repeated botulinum injection.
Adult ; Botulinum Toxins* ; Female ; Humans ; Incidence ; Needles ; Nerve Block ; Polytetrafluoroethylene ; Retrobulbar Hemorrhage ; Retrospective Studies ; Strabismus

Exophthalmos after trauma may develop because of retrobulbar hemorrhage, carotid cavernous fistula and orbital roof fracture. The orbital roof is composed of two layers of strong bone that makes it the strongest among the orbital walls and reports of its case are hardly found. However, rarely strong impact such as in automobile accidents causes these fractures and exophthalmos may develop due to herniation of brain tissue through a traumatic defect in the roof of the orbit. The authors experienced gradually increasing exophthalmos in a 33-year old man who had developed a subdural hematoma, orbital roof fracture and anterior temporal skull fracture due to an automobile accident. We report a case of orbital roof fracture in which herniation of brain was shown in orbital computed tomography and exophthalmos disappeared after dural suture.
Adult ; Automobiles ; Brain ; Encephalocele* ; Exophthalmos* ; Fistula ; Hematoma, Subdural ; Humans ; Orbit* ; Retrobulbar Hemorrhage ; Skull Fractures ; Sutures

Retrobulbar hemorrhage is one of the major complications following endoscopic sinus surgery (ESS) with a microdebrider. Symptoms and physical findings include temporary blindness, ophthalmoplegia, mydriasis, ptosis, proptosis and eyelid ecchymosis. Recently, we experienced a case of retrobulbar hemorrhage after an ESS with a microdebrider resulting from anterior ethmoid artery rupture. We hereby present this case with an emphasis on the importance of prevention, identification and management of retrobulbar hematoma.
Arteries ; Blindness ; Ecchymosis ; Exophthalmos ; Eyelids ; Hematoma ; Mydriasis ; Ophthalmoplegia ; Retrobulbar Hemorrhage* ; Rupture

Retrobulbar hemorrhage, especially when associated with visual loss, is a rare but significant complication after facial bone reconstruction. In this article, two cases of retrobulbar hematoma after surgical repair of blow-out fracture are reported. In one patient, permanent loss of vision was involved, but with the other patient, we were able to prevent this by performing immediate decompression after definite diagnosis. We present our clinical experience with regard to the treatment process and method for prevention of retrobulbar hematoma using a scalp vein set tube and a negative pressure drainage system.
Decompression ; Drainage ; Facial Bones ; Hematoma ; Humans ; Orbit ; Orbital Fractures ; Retrobulbar Hemorrhage ; Scalp ; Veins ; Vision, Ocular

At the present time, lidocaine is commonly used in ophthalmic surgery as a local anesthetic. Although it is safer than general anesthesia, visionthreatening and even life-threatening side effect can occur rarely. We report one case of visual loss combined with severe neurologic damage after local injection of lidocaine. Fifty-year-old male patient underwent phacoemulsification and IOL transscleral implantation with unplanned anterior vitrectomy after Nadbath-Ellis akinesia and retrobulbar anesthesia with lidocaine with 1:100,000 epinephrine. After operation, the patient had visual loss, facial palsy, total ophthalmoplegia, severe proptosis and submandibular swelling. There were no evidences of eyeball perforation, retrobulbar hemorrhage, and direct nerve injury. Although the mechanism of nerve injury is not well explainable, we suggest lidocaine toxic reaction. To our knowledge, This is the first reported case in the literature. We report this case with available literature review.
Anesthesia ; Anesthesia, General ; Blindness* ; Cataract* ; Epinephrine ; Exophthalmos ; Facial Paralysis ; Humans ; Lidocaine* ; Male ; Ophthalmoplegia ; Phacoemulsification ; Retrobulbar Hemorrhage ; Vitrectomy