Delayed orbital hemorrhage after routine strabismus surgery
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Updated: Oct 7, 2026
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Published on: July 8, 2025
B Todd1, T J Sullivan, G A Gole
1Royal Children's Hospital, Brisbane, Australia.
Purpose:
To report a case of delayed rectus muscle hemorrhage after strabismus surgery.
Methods:
Case report.
Results:
Rectus muscle hemorrhage occurred 36 hours after strabismus surgery in a 26-year-old man, causing temporary loss of vision and reduced ocular motility. Urgent lateral cantholysis and orbital exploration to restore hemostasis were undertaken. Full recovery of vision occurred and a small residual motility disturbance was present 3 months postoperatively.
Conclusion:
Delayed rectus muscle hemorrhage poststrabismus surgery is rare but can have sight-threatening effects. When vision is threatened because of optic nerve compromise, urgent orbital exploration may allow full recovery of function.
