Aplastic anemia presenting as spontaneous orbital hemorrhage.
We report a case of a 51-year-old female presenting with a three-day history of a painful swollen right eye associated with loss of vision. She presented with no light perception in the affected eye, periocular ecchymosis, hemorrhagic chemosis, and an axial proptosis. CT scan revealed a unilateral proptosis with tension on the optic nerve and accompanying diffuse retrobulbar hemorrhage. Bone marrow studies confirmed aplastic anemia. A review of the English literature failed to reveal previous cases of aplastic anemia presenting with spontaneous orbital hemorrhage. We suggest that aplastic anemia be included in the differential diagnosis of a patient presenting with painful spontaneous orbital hemorrhage.
Division of Ophthalmology, Faculty of Health Sciences, University of Stellenbosch, Tygerberg, South Africa. zanigrove@absamail.co.za
J D
JD
Grové
D
D
Meyer
D000741:Anemia, Aplastic / Q000175:diagnosis*; D001854:Bone Marrow Cells / Q000473:pathology; D019299:Decompression, Surgical; D005094:Exophthalmos / Q000000981:diagnostic imaging; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D008875:Middle Aged; D009886:Ophthalmoplegia / Q000175:diagnosis; D009900:Optic Nerve / Q000000981:diagnostic imaging; D019315:Retrobulbar Hemorrhage / Q000000981:diagnostic imaging* / Q000601:surgery; D014057:Tomography, X-Ray Computed