Delayed retrobulbar hemorrhage after reconstruction of inferior orbital wall fracture: a case report

Abstract

A 25-year-old man presented with enophthalmos and hypophthalmos in the left eye, underwent orbital floor reconstruction. Three days after the initial surgery, the patient’s visual acuity (VA) reduced to finger counting at 3 m, intraocular pressure increased to 32 mmHg, and relative afferent pupillary defect was detected. Further, spiral computed tomography demonstrated retrobulbar hemorrhage. After cantholysis and canthotomy, the VA was 20/200, 4 h postoperatively. Within 3 days, VA improved to 10/10. Physicians should have a heightened index of suspicion and awareness of this uncommon complication.

Keywords

• delayed retrobulbar hemorrhage
• medpor implant
• orbital wall fracture