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Abstract
Retrobulbar haemorrhage (RBH) occurs in a variety of situations. It can complicate
facial fractures, orbital surgery and retrobulbar injections and can occur spontaneously.
It is relatively uncommon and sight-threatening RBH is even less common. If not detected
early enough it can lead to devastating loss of vision. We have collected five cases
of acute RBH, following trauma, associated with a profound reduction in vision. In
each case a permanent loss of vision was avoided using a lateral canthotomy and inferior
cantholysis approach to obtain urgent orbital decompression.