Orbital hemorrhage with proptosis following a dacryocystorhinostomy.
A 65-year-old patient with chronic leukemia underwent an uncomplicated dacryocystorhinostomy. On the first postoperative day, the eye was proptotic and chemotic with restricted movements. A CT scan revealed a medial juxtabulbar hemorrhage that blocked the surgical osteotomy. A clot was locally suctioned through the nose, and the symptoms resolved over the following weeks.
D000368:Aged; D003607:Dacryocystitis / Q000601:surgery*; D003608:Dacryocystorhinostomy; D005094:Exophthalmos / Q000000981:diagnostic imaging*; D005260:Female; D006470:Hemorrhage / Q000000981:diagnostic imaging*; D006801:Humans; D009301:Nasolacrimal Duct / Q000601:surgery; D009916:Orbital Diseases / Q000000981:diagnostic imaging*; D011183:Postoperative Complications / Q000000981:diagnostic imaging; D014057:Tomography, X-Ray Computed