Delayed orbital hemorrhage after cataract surgery in a patient with an acquired factor VIII inhibitor.
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.
White
W L
WL
University of Missouri, Kansas City, USA.
Mundis
R J
RJ
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*
D001323:Autoantibodies; D005169:Factor VIII