Retrobulbar hemorrhage during strabismus surgery
Purpose: This case report presents an event of retrobulbar hemorrhage (RH) occurring during the initial stage of strabismus surgery after incision of the conjunctiva and Tenon's capsule. Observation: Significant bleeding with subsequent proptosis was observed intraoperatively after the incision...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2024-03-01
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| Series: | American Journal of Ophthalmology Case Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S245199362400001X |
| _version_ | 1797301387080499200 |
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| author | Maciej Gawęcki Krzysztof Kiciński |
| author_facet | Maciej Gawęcki Krzysztof Kiciński |
| author_sort | Maciej Gawęcki |
| collection | DOAJ |
| description | Purpose: This case report presents an event of retrobulbar hemorrhage (RH) occurring during the initial stage of strabismus surgery after incision of the conjunctiva and Tenon's capsule. Observation: Significant bleeding with subsequent proptosis was observed intraoperatively after the incision of conjunctiva and Tenon's capsule during routine strabismus surgery on the medial rectus muscle in a 5-year-old boy. Intravenous mannitol was administered intraoperatively and surgery was completed as planned. The RH receded within 24 hours without the necessity of orbital decompression. Tenon's capsule prolapse was noted on the first postoperative day and managed with surgical excision under shallow intravenous anesthesia. No damage to the optic nerve or ganglion cells was detected a week after and three months post-surgery. Conclusions and importance: Strabismus surgery bears a risk of RH at every stage of the operation. Careful hemostasis should be provided at each step of the procedure to decrease the risk of such an event. Patients after events of serious intraoperative bleeding should undergo careful post-operative investigation towards coagulation insufficiencies, though no such deficits were identified in the present case. |
| first_indexed | 2024-03-07T23:21:47Z |
| format | Article |
| id | doaj.art-677f4146a6d147168b946c82b91ba6d7 |
| institution | Directory Open Access Journal |
| issn | 2451-9936 |
| language | English |
| last_indexed | 2024-03-07T23:21:47Z |
| publishDate | 2024-03-01 |
| publisher | Elsevier |
| record_format | Article |
| series | American Journal of Ophthalmology Case Reports |
| spelling | doaj.art-677f4146a6d147168b946c82b91ba6d72024-02-21T05:29:19ZengElsevierAmerican Journal of Ophthalmology Case Reports2451-99362024-03-0133101991Retrobulbar hemorrhage during strabismus surgeryMaciej Gawęcki0Krzysztof Kiciński1Corresponding author. Szymanowskiego 49/1, 80-280, Gdansk, Poland.; Department of Ophthalmology of Specialist Hospital in Chojnice, PolandDepartment of Ophthalmology of Specialist Hospital in Chojnice, PolandPurpose: This case report presents an event of retrobulbar hemorrhage (RH) occurring during the initial stage of strabismus surgery after incision of the conjunctiva and Tenon's capsule. Observation: Significant bleeding with subsequent proptosis was observed intraoperatively after the incision of conjunctiva and Tenon's capsule during routine strabismus surgery on the medial rectus muscle in a 5-year-old boy. Intravenous mannitol was administered intraoperatively and surgery was completed as planned. The RH receded within 24 hours without the necessity of orbital decompression. Tenon's capsule prolapse was noted on the first postoperative day and managed with surgical excision under shallow intravenous anesthesia. No damage to the optic nerve or ganglion cells was detected a week after and three months post-surgery. Conclusions and importance: Strabismus surgery bears a risk of RH at every stage of the operation. Careful hemostasis should be provided at each step of the procedure to decrease the risk of such an event. Patients after events of serious intraoperative bleeding should undergo careful post-operative investigation towards coagulation insufficiencies, though no such deficits were identified in the present case.http://www.sciencedirect.com/science/article/pii/S245199362400001XStrabismus surgeryRetrobulbar hemorrhageOrbital decompressionMuscle recession |
| spellingShingle | Maciej Gawęcki Krzysztof Kiciński Retrobulbar hemorrhage during strabismus surgery American Journal of Ophthalmology Case Reports Strabismus surgery Retrobulbar hemorrhage Orbital decompression Muscle recession |
| title | Retrobulbar hemorrhage during strabismus surgery |
| title_full | Retrobulbar hemorrhage during strabismus surgery |
| title_fullStr | Retrobulbar hemorrhage during strabismus surgery |
| title_full_unstemmed | Retrobulbar hemorrhage during strabismus surgery |
| title_short | Retrobulbar hemorrhage during strabismus surgery |
| title_sort | retrobulbar hemorrhage during strabismus surgery |
| topic | Strabismus surgery Retrobulbar hemorrhage Orbital decompression Muscle recession |
| url | http://www.sciencedirect.com/science/article/pii/S245199362400001X |
| work_keys_str_mv | AT maciejgawecki retrobulbarhemorrhageduringstrabismussurgery AT krzysztofkicinski retrobulbarhemorrhageduringstrabismussurgery |