Spontaneous orbital hemorrhage in adult females. A report of three cases.
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.
Shimura
M
M
Department of Ophthalmology, Tohoku University School of Medicine, Sendai, Japan.
Kiyosawa
M
M
Aikawa
H
H
Tominaga
T
T
Matsumoto
W
W
Tamai
M
M
D000328:Adult; D005094:Exophthalmos / Q000209:etiology* / Q000628:therapy; D005260:Female; D006406:Hematoma / Q000209:etiology / Q000628:therapy; D006470:Hemorrhage / Q000209:etiology* / Q000628:therapy; D006801:Humans; D008875:Middle Aged; D009915:Orbit / Q000098:blood supply*; D009916:Orbital Diseases / Q000209:etiology* / Q000628:therapy; D010690:Phlebography; D012008:Recurrence; D014057:Tomography, X-Ray Computed; D014648:Varicose Veins / Q000150:complications*; D014792:Visual Acuity / Q000502:physiology