Delayed orbital hemorrhage after routine strabismus surgery.

Todd, B; Sullivan, T J; Gole, G A · Am J Ophthalmol · 2001

case_report · Level V

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Abstract

To report a case of delayed rectus muscle hemorrhage after strabismus surgery. Case report. Rectus muscle hemorrhage occurred 36 hours after strabismus surgery in a 26-year-old man, causing temporary loss of vision and reduced ocular motility. Urgent lateral cantholysis and orbital exploration to restore hemostasis were undertaken. Full recovery of vision occurred and a small residual motility disturbance was present 3 months postoperatively. Delayed rectus muscle hemorrhage poststrabismus surgery is rare but can have sight-threatening effects. When vision is threatened because of optic nerve compromise, urgent orbital exploration may allow full recovery of function.

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