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Maternal orbital hematoma associated with labor.
D M Jacobson1, K Itani, K B Digre
1Department of Neurology, University of Iowa Hospitals and Clinics, Iowa City.
American Journal of Ophthalmology
|May 15, 1988
Summary
Orbital hematomas in women after labor can cause sudden vision changes. These cases resolved within two weeks without surgery, indicating a favorable prognosis for labor-related orbital hematomas.
Area of Science:
- Ophthalmology
- Obstetrics
Background:
- Orbital hematomas are rare complications during labor.
- Sudden onset of diplopia, proptosis, and orbital pain can indicate orbital hematoma.
Observation:
- Two women presented with acute symptoms of orbital hematoma post-labor.
- Diagnostic imaging, including orbital echography and computed tomography, confirmed the hematoma.
- Patients were managed conservatively without surgical intervention.
Findings:
- Neither patient exhibited signs of compressive optic neuropathy.
- Complete clinical resolution of symptoms was observed within two weeks.
- Serial orbital echography confirmed the gradual resolution of the hematomas.
Implications:
- Conservative management may be appropriate for select cases of labor-related orbital hematomas.
- This suggests that orbital hematomas associated with labor may have a benign clinical course.
- Ophthalmological monitoring is crucial to rule out complications like optic nerve compression.