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Retrobulbar hematoma as a rare complication after secondary correction of enophthalmos
Chih-Hao Chen1, Chien-Tzung Chen, Faye Huang
1Division of Trauma Plastic Surgery, Department of Plastic and Reconstructive Surgery, College of Medicine, Chang Gung Institute of Technology, Chang Gung Memorial Hospital, Chang Gung University, Taipei, Taiwan, Republic of China.
Abstract:
Retrobulbar hematoma is a rare complication after orbital surgery, with the potentially disastrous consequence of visual impairment and blindness. We report a female patient who was admitted for enophthalmos correction because of the unsatisfactory result of the primary repair of an orbital blowout fracture and who subsequently experienced the complication of retrobulbar hematoma after operation. The initial presentation of the patient was eye pain with vomiting, followed by proptosis and visual impairment. Retrobulbar hematoma was confirmed by computed tomography, and immediate medical and surgical treatments were instituted. The vision of the patient recovered gradually during outpatient follow-up.
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