title: Bilateral retrobulbar hemorrhage and visual loss following traumatic asphyxia.
abstract: Retrobulbar hemorrhage and permanent visual loss are rare presentations following traumatic asphyxia. In this case, bilateral permanent visual disturbance developed in a woman after chest-crushing trauma without direct trauma to the orbits. A computed tomography scan confirmed bilateral retrobulbar hemorrhages. An ophthalmologic exam revealed bilateral subconjunctival hemorrhages and severe lid edema. Despite high-dose steroid therapy, visual recovery was limited, and optic nerve atrophy developed. Ischemia of the optic nerve associated with retrobulbar hemorrhage may be postulated as one of the causes of permanent visual impairment following traumatic asphyxia.
authors.affiliation: Department of Ophthalmology, Ulsan University Hospital, Ulsan University College of Medicine, Ulsan, Korea.
authors.forename: Young Joo
authors.initials: YJ
authors.lastname: Choi
authors.forename: Sung Ju
authors.initials: SJ
authors.lastname: Lee
authors.forename: Hyung Jin
authors.initials: HJ
authors.lastname: Kim
authors.forename: Jin Ho
authors.initials: JH
authors.lastname: Yim
mesh_terms: D001237:Asphyxia / Q000150:complications* / Q000209:etiology*; D005260:Female; D006801:Humans; D007511:Ischemia / Q000150:complications; D008875:Middle Aged; D009900:Optic Nerve / Q000098:blood supply; D019315:Retrobulbar Hemorrhage / Q000150:complications* / Q000000981:diagnostic imaging / Q000209:etiology*; D013898:Thoracic Injuries / Q000150:complications*; D014057:Tomography, X-Ray Computed; D014786:Vision Disorders / Q000209:etiology*