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Orbital hemorrhage.

G B Krohel, J E Wright

    American Journal of Ophthalmology
    |August 1, 1979
    PubMed
    Summary
    This summary is machine-generated.

    Spontaneous orbital hemorrhages present with acute pain and vision loss. Elderly patients with atherosclerosis face severe, permanent vision loss, unlike younger patients with venous anomalies.

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    Area of Science:

    • Ophthalmology
    • Vascular Surgery
    • Neurology

    Background:

    • Spontaneous orbital hemorrhage is a rare but serious condition.
    • It can present with varied symptoms, including pain, proptosis, and vision changes.
    • Underlying vascular anomalies and atherosclerosis are common associations.

    Purpose of the Study:

    • To describe the clinical presentation, underlying causes, and visual outcomes of spontaneous orbital hemorrhages.
    • To differentiate presentations and outcomes between pediatric and elderly patient groups.

    Main Methods:

    • Retrospective case series analysis of seventeen patients with spontaneous orbital hemorrhages.
    • Review of clinical symptoms, diagnostic findings, associated conditions, and treatment outcomes.

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    Main Results:

    • Common symptoms include acute pain, proptosis, vomiting, decreased vision, and limited motility.
    • Pediatric cases often mimicked space-occupying lesions.
    • Venous anomalies were frequent in most patients; atherosclerosis was noted in elderly patients.
    • Hypertension, anemia, labor, and von Willebrand's disease were associated conditions.
    • Elderly patients experienced significantly worse visual outcomes, with 50% suffering severe, permanent vision loss.

    Conclusions:

    • Spontaneous orbital hemorrhage requires prompt diagnosis and management.
    • Age and underlying etiology (venous anomalies vs. atherosclerosis) significantly impact visual prognosis.
    • Elderly patients with atherosclerosis are at high risk for irreversible vision loss.