Delayed orbital hemorrhage after routine strabismus surgery.
OBJECTIVE
To report a case of delayed rectus muscle hemorrhage after strabismus surgery.


METHODS
Case report.


RESULTS
Rectus muscle hemorrhage occurred 36 hours after strabismus surgery in a 26-year-old man, causing temporary loss of vision and reduced ocular motility. Urgent lateral cantholysis and orbital exploration to restore hemostasis were undertaken. Full recovery of vision occurred and a small residual motility disturbance was present 3 months postoperatively.


CONCLUSIONS
Delayed rectus muscle hemorrhage poststrabismus surgery is rare but can have sight-threatening effects. When vision is threatened because of optic nerve compromise, urgent orbital exploration may allow full recovery of function.
Todd
B
B
Royal Children's Hospital, Brisbane, Australia.
Sullivan
T J
TJ
Gole
G A
GA
D000328:Adult; D004948:Esotropia / Q000601:surgery; D006470:Hemorrhage / Q000000981:diagnostic imaging / Q000209:etiology*; D006801:Humans; D008297:Male; D009801:Oculomotor Muscles / Q000098:blood supply / Q000601:surgery; D009916:Orbital Diseases / Q000000981:diagnostic imaging / Q000209:etiology*; D011183:Postoperative Complications; D013285:Strabismus / Q000601:surgery*; D014057:Tomography, X-Ray Computed