2
views
0
recommends
+1 Recommend
1 collections
    0
    shares
      • Record: found
      • Abstract: found
      • Article: found
      Is Open Access

      Hemorragia retrobulbar espontánea asociada a consumo de anticoagulantes Translated title: Spontaneous retrobulbar haemorrhage associated with anticoagulants

      case-report

      Read this article at

      ScienceOpenPublisherPMC
      Bookmark
          There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

          Resumen

          La hemorragia retrobulbar es un sangrado en la región intraorbitaria retroseptal que genera un síndrome compartimental orbitario.

          Se presenta el caso de una mujer de 86 años que acudió a Urgencias por dolor ocular y pérdida de visión en ojo izquierdo de seis horas de evolución. Presentaba tratamiento anticoagulante con 300 mg/día de Dabigatrán por fibrilación auricular como único antecedente médico. La exploración clínica fue compatible con hemorragia retrobulbar, diagnóstico confirmado por TAC urgente, realizándose de forma inmediata una cantotomía con cantolisis. Se realizó RMN orbitaria que descartó la existencia de malformaciones arteriovenosas como factor desencadenante, diagnosticándose de hemorragia retrobulbar espontánea asociada a consumo de anticoagulantes.

          La singularidad de este caso radica en formar parte del pequeño porcentaje de hemorragias retrobulbares que no se asocian a causa traumática ni postquirúrgica así como en ilustrar una localización muy poco frecuente de sangrado asociado a anticoagulación.

          Abstract

          Retrobulbar hemorrhage consists of bleeding in the retroseptal intraorbital region generating an orbital compartment syndrome.

          We present the case of an 86-year-old woman who came to the Emergency Room due to ocular pain and loss of vision in the left eye of six hours of evolution. The only medical history was atrial fibrillation on anticoagulant treatment with Dabigatran 300mg daily. The clinical examination was compatible with retrobulbar hemorrhage and the urgent CT confirmed the diagnosis, performing immediately after a canthotomy with cantolysis. In the absence of triggering factors, an orbital MRI was performed which ruled out the existence of arteriovenous malformations, diagnosing spontaneous retrobulbar hemorrhage associated with the use of anticoagulants.

          The uniqueness of this case is that it forms part of the small percentage of retrobulbar hemorrhages that are not associated with trauma or postsurgical causes, as well as in illustrating a very rare location of bleeding associated with anticoagulation.

          Related collections

          Most cited references5

          • Record: found
          • Abstract: found
          • Article: not found

          Acute retrobulbar haemorrhage: An ophthalmologic emergency for the emergency physician.

          Acute retrobulbar haemorrhage (ARBH) is a rare ophthalmic emergency observed following blunt eye trauma. Multiple trauma and loss of consciousness can hide symptoms of ARBH. Rapid diagnosis and immediate lateral canthotomy and cantholysis must be performed to prevent permanent visual loss in patients. Medical treatment can be added to surgical therapy. Lateral canthotomy and cantholysis are simple procedures that can be performed by emergency physicians. In this report, it was aimed to present a case with post-traumatic ARBH and provide general knowledge about the diagnosis, follow-up and treatment of ARBH.
            Bookmark
            • Record: found
            • Abstract: found
            • Article: found
            Is Open Access

            Spontaneous Retrobulbar Haematoma

            Background. Spontaneous orbital haemorrhage is a very rare condition and vision-threatening event. It may occur due to trauma, orbital surgery/injections, orbital vascular anomalies, and a variety of systemic predisposing factors. Signs of retrobulbar hemorrhage include proptosis, ophthalmoplegia, increased intraocular pressure, loss of pupillary reflexes, and optic disc or retinal pallor. Both Computed Tomography scan and Magnetic Resonance Imaging may be performed in the diagnosis. Case Report. A 31-year-old woman was referred to our hospital with a complaint of headache and blurred vision following a strong sneeze. Ophthalmological examination revealed mild Relative Afferent Pupillary Defect in left eye. Computed Tomography revealed left hyperdense retrobulbar mass and displaced optic nerve. T1 weighted hypointense, T2 weighted hyperintense and non-enhanced round shape, sharply demarcated lesion measuring 18 × 15 × 14 × mm in diameter compatible with haematoma was detected by MRI. Surgically Caldwell-Luc procedure was performed. Histological examination confirmed haematoma. Follow-up Magnetic Resonance Imaging revealed a small reduction in the size of lesion but not complete resolution. The patient's complaint was regressed. She is now free of symptoms and is still under surveillance. To our knowledge, this is the first reported case of retrobulbar haematoma caused by sneeze.
              Bookmark
              • Record: found
              • Abstract: not found
              • Article: not found

              Retrobulbar hemorrhage and prasugrel

                Bookmark

                Author and article information

                Journal
                An Sist Sanit Navar
                An Sist Sanit Navar
                assn
                Anales del Sistema Sanitario de Navarra
                Gobierno de Navarra. Departamento de Salud
                1137-6627
                2340-3527
                27 April 2022
                Jan-Apr 2022
                : 45
                : 1
                : e0972
                Affiliations
                [1 ] originalServicio de Oftalmología Hospital Universitario Miguel Servet. Zaragoza. España. orgdiv1Servicio de Oftalmología orgnameHospital Universitario Miguel Servet Zaragoza, España
                [2 ] originalGrupo de Investigación e Innovación Miguel Servet Oftalmología (GIMSO). Instituto de Investigación Sanitaria de Aragón (IISA). España. orgdiv1Grupo de Investigación e Innovación Miguel Servet Oftalmología (GIMSO) orgnameInstituto de Investigación Sanitaria de Aragón (IISA) España
                [3 ] originalServicio de Medicina Interna Hospital Clínico Universitario Lozano Blesa. Zaragoza. España. normalizedHospital Clínico Universitario Lozano Blesa orgdiv1Servicio de Medicina Interna orgnameHospital Clínico Universitario Lozano Blesa Zaragoza, Spain
                Author notes
                [Correspondencia ] Mª José Vicente Altabás. Servicio de Oftalmología, Hospital Universitario Miguel Servet Paseo Isabel la Católica, 1-3, 50009, Zaragoza, España. E-mail: mjvicentealtabas@ 123456gmail.com

                Conflictos de interés: Los autores declaran no tener conflictos de intereses.

                Article
                10.23938/ASSN.0972
                10112294
                34664554
                8ead8b53-88bb-4479-b517-ecdfc2e4654e

                Este es un artículo publicado en acceso abierto bajo una licencia Creative Commons

                History
                : 05 January 2021
                : 14 May 2021
                : 08 June 2021
                Page count
                Figures: 2, Tables: 0, Equations: 0, References: 5, Pages: 0
                Categories
                Notas Clínicas

                hemorragia retrobulbar,urgencia oftalmológica,anticoagulantes,pérdida de visión,cantotomía,retrobulbar haemorrhage,ophthalmological emergency,anticoagulants,loss of visión,canthotomy

                Comments

                Comment on this article