title: Delayed orbital hemorrhage after cataract surgery in a patient with an acquired factor VIII inhibitor.
abstract: OBJECTIVE
  To report the occurrence of delayed orbital hemorrhage after cataract surgery with retrobulbar anesthesia in a patient with previously unknown acquired factor VIII antibodies.
  
  
  METHODS
  Interventional case report. A 79-year-old woman underwent uneventful cataract surgery with retrobulbar anesthesia and subsequently incurred a severe orbital hemorrhage 12 hours postoperatively.
  
  
  RESULTS
  Despite aggressive surgical and medical intervention, the patient lost all vision in the involved eye.
  
  
  CONCLUSIONS
  Delayed postoperative retrobulbar hemorrhage may cause total loss of vision in patients with acquired factor VIII antibodies.
authors.affiliation: University of Missouri, Kansas City, USA.
authors.forename: W L
authors.initials: WL
authors.lastname: White
authors.forename: R J
authors.initials: RJ
authors.lastname: Mundis
mesh_terms: D000368:Aged; D000772:Anesthesia, Local; D001323:Autoantibodies / Q000097:blood*; D001766:Blindness / Q000209:etiology; D005169:Factor VIII / Q000276:immunology*; D005260:Female; D006467:Hemophilia A / Q000175:diagnosis* / Q000628:therapy; D006801:Humans; D010314:Partial Thromboplastin Time; D018918:Phacoemulsification / Q000009:adverse effects*; D019315:Retrobulbar Hemorrhage / Q000209:etiology*
chemical_list: D001323:Autoantibodies; D005169:Factor VIII