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Hematoma of the orbital roof after coronary angioplasty

  • Case Report
  • Published:
Annals of Ophthalmology

Abstract

Subperiosteal hematomas of the orbital roof are primarily caused by craniofacial trauma. We describe a man with hematoma of the orbital roof induced by a Valsalva maneuver during coronary angioplasty. After the procedure, the patient presented with bilateral proptosis. On day 3, both eyes had decreased visual a cuity and signs of papilledema and choroidal folds. After the diagnosis was made, dexamethasone treatment was initiated. One month after onset of symptoms, the hematoma appeared completely resorbed on computed tomographic scans.

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References

  1. Krohel G, Wright J. Orbital hemorrhage. Am J Ophthalmol. 1979; 88:254–258.

    PubMed  CAS  Google Scholar 

  2. Wolter J. Subperiosteal hematomas of the orbit in young males: a serious complication of trauma or surgery in the eye region. Trans Am Ophthalmol Soc. 1979;77:104–120.

    PubMed  CAS  Google Scholar 

  3. Weil D, Chiaradía P Badoza D, Sturla F. Atrofia óptica tras blefaroplastia cosmética. Arch Oftalmol Buenos Aires 1994;69:108–111.

    Google Scholar 

  4. Shimura M, Kiyosawa M, Aikawa H, et al. Spontaneous orbital hemorrhage in adult females: a report of 3 cases. Ophthalmologica. 1992;295:149–157.

    Article  Google Scholar 

  5. Rubenstein R, Albert D, Scheie H. Ocular complications of hemophilia. Arch Ophthalmol. 1966;76:230.

    Google Scholar 

  6. Reese A, Guy L. Exophthalmos in leukemia. Am J Opthalmol. 1933;16:718.

    Google Scholar 

  7. Dunnington J. Exophthalmos in infantile scurvy. Arch Ophthalmol. 1931;6:731.

    Google Scholar 

  8. Kubik J. Spontaneous hemorrhage into the orbit in hypertension. Cesk Oftalmol. 1963;19:267.

    PubMed  CAS  Google Scholar 

  9. Myerson L, Lazar S. Intraorbital aneurysm of the ophthalmic artery. Br J Ophthalmol 1971;55:199.

    Google Scholar 

  10. Linberg J, Mayle M. Spontaneus, orbital hemorrhage associated with idiopathic inflammatory pseudotumor. Am J Ophthalmol. 1990;109:103–104.

    PubMed  CAS  Google Scholar 

  11. Geyer O, Wasserman D, Rothkoff L, Lazar M. Orbital haemorrhage induced by labour. Br J Ophthalmol. 1990;74:242.

    PubMed  CAS  Google Scholar 

  12. Law F. Spontaneus, orbital haemorrhage. Br J Ophthalmol. 1971; 55:556–558.

    PubMed  CAS  Google Scholar 

  13. Reese A. Tumors of the Eye, New York, NY: Harper & Row Publishers Inc; 1963:547.

    Google Scholar 

  14. Katz B, Carmody R. Subperiosteal orbital hematoma induced by the Valsalva maneuver. Am J Ophthalmol. 1985;100:617–618.

    PubMed  CAS  Google Scholar 

  15. Bovill EG, Tracy RP, Knatterud GL, et al. Hemorrhagic events during therapy with recombinant tissue plasminogen activator, heparin, and aspirin for unstable angina (thrombolysis, in myocardial ischemia, phase IIIB trial). Am J Cardiol. 1997;79:391–396.

    Article  PubMed  CAS  Google Scholar 

  16. Gomez Sanchez-Biedma C, Pintor Holguin E, Jimenez Rodriguez-Madrilejos R, Pieltain Alvarez-Arenas R, Fernández-Cruz A. Hematoma retroperitoneal tras angioplastia coronaria transluminal percutánea [Retroperitoneal hematoma after percutaneous transluminal coronary angioplasty]. Ann Med Interna. 1996;12: 395–397.

    Google Scholar 

  17. Brown AS, Hancock JE, Thomas MR. Iliacus haematoma: an unusual complication of the percutaneous transradial approach for coronary stent implantation [letter]. Eur Heart J. 1996;17:964–965.

    PubMed  CAS  Google Scholar 

  18. Katz B, Brick D, Herschler J. Orbital hemorrhage and visual loss: a posterior optic neuropathy. Br J Ophthalmol 1983;67:549.

    PubMed  CAS  Google Scholar 

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Badoza, D., Weil, D. Hematoma of the orbital roof after coronary angioplasty. Ann Ophthalmol 33, 56–59 (2001). https://doi.org/10.1007/s12009-001-0057-2

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