Doubly Blinded: An Uncommon Cause of Acute Visual Loss Due to Orbital Compartment Syndrome
A 68-year-old female patient with a past medical history of atrial fibrillation on anticoagulation regimen with Apixaban and Clopidogrel presented for her scheduled Watchman device implantation. The device was indicated as patient was high risk for falling. Successful implantation of the left atrial...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
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MDPI AG
2021-05-01
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| Series: | Clinics and Practice |
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| Online Access: | https://www.mdpi.com/2039-7283/11/2/46 |
| _version_ | 1827691725983842304 |
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| author | Khalid Sawalha Devi Nair |
| author_facet | Khalid Sawalha Devi Nair |
| author_sort | Khalid Sawalha |
| collection | DOAJ |
| description | A 68-year-old female patient with a past medical history of atrial fibrillation on anticoagulation regimen with Apixaban and Clopidogrel presented for her scheduled Watchman device implantation. The device was indicated as patient was high risk for falling. Successful implantation of the left atrial appendage device was carried out, and the patient was sent to the floor. One hour after the procedure, the patient started having left-sided diplopia along with severe eye pain. An immediate CT scan of the head showed left superior orbital mass, concerning for hematoma. Urgent left canthotomy with cantholysis was conducted bedside. However, despite early interventions, the patient’s vision was lost. |
| first_indexed | 2024-03-10T11:07:38Z |
| format | Article |
| id | doaj.art-b69b76ca303548ea926ac8d8aa65c076 |
| institution | Directory Open Access Journal |
| issn | 2039-7283 |
| language | English |
| last_indexed | 2024-03-10T11:07:38Z |
| publishDate | 2021-05-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Clinics and Practice |
| spelling | doaj.art-b69b76ca303548ea926ac8d8aa65c0762023-11-21T21:04:16ZengMDPI AGClinics and Practice2039-72832021-05-0111232733110.3390/clinpract11020046Doubly Blinded: An Uncommon Cause of Acute Visual Loss Due to Orbital Compartment SyndromeKhalid Sawalha0Devi Nair1Internal Medicine Division, White River Health System, Batesville, AR 72501, USAElectrophysiology Division, White River Health System, Batesville, AR 72501, USAA 68-year-old female patient with a past medical history of atrial fibrillation on anticoagulation regimen with Apixaban and Clopidogrel presented for her scheduled Watchman device implantation. The device was indicated as patient was high risk for falling. Successful implantation of the left atrial appendage device was carried out, and the patient was sent to the floor. One hour after the procedure, the patient started having left-sided diplopia along with severe eye pain. An immediate CT scan of the head showed left superior orbital mass, concerning for hematoma. Urgent left canthotomy with cantholysis was conducted bedside. However, despite early interventions, the patient’s vision was lost.https://www.mdpi.com/2039-7283/11/2/46retrobulbar hematomaorbital compartment syndrome |
| spellingShingle | Khalid Sawalha Devi Nair Doubly Blinded: An Uncommon Cause of Acute Visual Loss Due to Orbital Compartment Syndrome Clinics and Practice retrobulbar hematoma orbital compartment syndrome |
| title | Doubly Blinded: An Uncommon Cause of Acute Visual Loss Due to Orbital Compartment Syndrome |
| title_full | Doubly Blinded: An Uncommon Cause of Acute Visual Loss Due to Orbital Compartment Syndrome |
| title_fullStr | Doubly Blinded: An Uncommon Cause of Acute Visual Loss Due to Orbital Compartment Syndrome |
| title_full_unstemmed | Doubly Blinded: An Uncommon Cause of Acute Visual Loss Due to Orbital Compartment Syndrome |
| title_short | Doubly Blinded: An Uncommon Cause of Acute Visual Loss Due to Orbital Compartment Syndrome |
| title_sort | doubly blinded an uncommon cause of acute visual loss due to orbital compartment syndrome |
| topic | retrobulbar hematoma orbital compartment syndrome |
| url | https://www.mdpi.com/2039-7283/11/2/46 |
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