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Spontaneous Retrobulbar Haematoma.

Mehmet Deveer1, Nesat Cullu1, Halil Beydilli2

  • 1Department of Radiology, Mugla Sitki Kocman University School of Medicine, 48000 Mugla, Turkey.

Case Reports in Radiology
|June 20, 2015
PubMed
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A rare spontaneous orbital hemorrhage, a vision-threatening event, was successfully treated in a patient experiencing blurred vision after a sneeze. This case highlights a novel cause for retrobulbar hematoma.

Area of Science:

  • Ophthalmology
  • Neurology

Background:

  • Spontaneous orbital hemorrhage is a rare, vision-threatening condition.
  • Predisposing factors include trauma, surgery, vascular anomalies, and systemic conditions.
  • Signs include proptosis, ophthalmoplegia, increased intraocular pressure, and pupillary reflex loss.

Purpose of the Study:

  • To report the first case of retrobulbar hematoma caused by a sneeze.
  • To describe the diagnostic and therapeutic approach for this rare event.

Main Methods:

  • A 31-year-old woman presented with headache and blurred vision post-sneeze.
  • Ophthalmological examination and imaging (CT and MRI) were performed.
  • Caldwell-Luc procedure was utilized for surgical intervention.

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Main Results:

  • CT revealed a left retrobulbar mass with optic nerve displacement.
  • MRI confirmed a hematoma measuring 18x15x14 mm.
  • Histological examination confirmed the hematoma; surgical treatment led to symptom regression.

Conclusions:

  • Sneeze-induced retrobulbar hematoma is a previously unreported etiology.
  • Prompt diagnosis and surgical management are crucial for favorable outcomes.
  • While conservative management may lead to partial resolution, surgical intervention is effective.