Orbital haemorrhage with loss of vision in a patient with disseminated intravascular coagulation and prostatic carcinoma.
A 65-year-old man with sudden profound loss of vision in his right eye due to sub-periosteal orbital haemorrhage was found to have disseminated intravascular coagulation (DIC) secondary to metastatic prostatic carcinoma. CT-scan did not reveal any orbital metastases. A lateral canthotomy did not help to restore the vision. Orbital haemorrhage is known to occur with DIC due to different causes. To the best of our knowledge this is the first report of orbital haemorrhage with DIC related to prostatic carcinoma. This case emphasises the importance of considering systemic factors in cases of non-traumatic haemorrhage, along with imaging studies to rule out any co-existing vascular anomaly.
Goyal
Saurabh
S
Department of Ophthalmology, Kings College Hospital, London, UK. mrsaurabhgoyal@hotmail.com
Goel
Ravi
R
D000230:Adenocarcinoma / Q000150:complications* / Q000628:therapy; D000368:Aged; D001766:Blindness / Q000209:etiology*; D004211:Disseminated Intravascular Coagulation / Q000209:etiology*; D006801:Humans; D007429:Intraocular Pressure; D008297:Male; D011471:Prostatic Neoplasms / Q000150:complications* / Q000628:therapy; D019315:Retrobulbar Hemorrhage / Q000000981:diagnostic imaging / Q000209:etiology*; D014057:Tomography, X-Ray Computed; D014792:Visual Acuity