Retrobulbar hematoma associated with selective serotonin reuptake inhibitor: a case report.
OBJECTIVE
The aim was to raise awareness among surgeons performing orbital surgery of the risk of hemorrhage associated with selective serotonin reuptake inhibitors.


METHODS
This is an observational case report.


RESULTS
An 80-year-old woman who used paroxetine developed a retrobulbar hematoma with impaired vision immediately after surgery for an orbital blowout fracture.


CONCLUSIONS
Surgeons should be aware of the increased risk of hemorrhage among patients on selective serotonin reuptake inhibitors who require orbital surgery.
Van Cann
Ellen M
EM
Department of Oral And Maxillofacial Surgery, University Medical Center Utrecht, Utrecht, The Netherlands. e.m.vancann@umcutrecht.nl
Koole
Ronald
R
D000369:Aged, 80 and over; D004172:Diplopia / Q000601:surgery; D005260:Female; D005500:Follow-Up Studies; D006406:Hematoma / Q000209:etiology*; D006801:Humans; D009798:Ocular Hypertension / Q000209:etiology; D009917:Orbital Fractures / Q000601:surgery; D017374:Paroxetine / Q000009:adverse effects*; D019106:Postoperative Hemorrhage / Q000209:etiology*; D019651:Plastic Surgery Procedures / Q000379:methods; D019315:Retrobulbar Hemorrhage / Q000209:etiology*; D017367:Selective Serotonin Reuptake Inhibitors / Q000009:adverse effects*; D013526:Surgical Mesh
D017374:Paroxetine; D017367:Selective Serotonin Reuptake Inhibitors