Retrobulbar hemorrhage
Revision as of 17:52, 10 January 2015 by Rossdonaldson1 (talk | contribs)
Background
- Most often due to blunt orbital trauma
- Can cause loss of vision due to abrupt increase in intraocular pressure
- Also known as retrobulbar hematoma
Clinical Features
- Pain
- Proptosis
- Decreasing vision
Diagnosis
- Tonometry
- Only measure once globe rupture has been ruled-out
- CT Orbit
Differential Diagnosis
Periorbital swelling
Proptosis
- Normal IOP
- Orbital cellulitis
- Orbital pseudotumor
- Orbital tumor
- Increased IOP
- Retrobulbar abscess
- Retrobulbar emphysema
- Retrobulbar hemorrhage
- Ocular compartment syndrome
- Orbital tumor
No proptosis
- Periorbital cellulitis/erysipelas
- Dacryocystitis (lacrimal duct)
- Dacryocele/Dacryocystocele
- Dacryostenosis
- Dacryoadenitis (lacrimal gland)
- Allergic reaction
- Nephrotic Syndrome (pediatrics)
Lid Complications
- Blepharitis (crusts)
- Chalazion (meibomian gland)
- Stye (hordeolum) (eyelash folicle)
Other
- Subperiosteal abscess
- Orbital abscess
- Cavernous sinus thrombosis
- Conjunctivitis
- Contact dermatitis
- Herpes zoster
- Herpes simplex
- Sarcoidosis
- Granulomatosis with polyangiitis
Maxillofacial Trauma
- Ears
- Nose
- Oral
- Other face
- Zygomatic arch fracture
- Zygomaticomaxillary (tripod) fracture
- Related
Treatment
- Emergent ophto consultation
- Consider lateral Canthotomy if IOP >40
See Also
Source
Tintinalli