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Delayed-type retrobulbar hematoma caused by low temperature after reconstruction of inferior blow-out fracture
Archives of Craniofacial Surgery ; : 110-114, 2021.
Article Dans Anglais | WPRIM | ID: wpr-897052
ABSTRACT
Retrobulbar hemorrhage is a disastrous condition that can lead to permanent blindness. As such, rapid diagnosis and treatment are critical. Here, we report a patient who presented with retrobulbar hemorrhage following an orbital floor fracture. Restoration of inferior orbital wall with porous polyethylene implant was underwent. Four days after the orbital floor reconstruction, the patient smoked a cigarette outdoors in –3˚C weather. Cold temperature and smoking caused an increase in his systemic blood pressure. The elevated blood pressure increased intraorbital pressure to the extent of causing central retinal artery occlusion and exacerbated oozing. During exploratory surgery, 3 mL of hematoma and diffuse oozing without arterial bleeding were observed. Prompt diagnosis and treatment prevented vision impairment. Few studies have reported on the risk factors for retrobulbar hemorrhage. This case showed that daily activities, such as exposure to cold weather or tobacco smoking, could be risk factors for retrobulbar hemorrhage.
Texte intégral: Disponible Indice: WPRIM (Pacifique occidental) Type d'étude: Facteurs de risque langue: Anglais Texte intégral: Archives of Craniofacial Surgery Année: 2021 Type: Article

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Texte intégral: Disponible Indice: WPRIM (Pacifique occidental) Type d'étude: Facteurs de risque langue: Anglais Texte intégral: Archives of Craniofacial Surgery Année: 2021 Type: Article