Retrobulbar hemorrhage
Revisión del 17:14 13 oct 2014 de Rossdonaldson1 (discusión | contribs.)
Background
- Most often due to blunt trauma
- Can cause loss of vision due to abrupt increase in intraocular pressure
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
Treatment
- Emergent ophto consultation
- Consider lateral Canthotomy if IOP >40
See Also
Source
Tintinalli