Arch Plast Surg.  2013 Jul;40(4):445-449. 10.5999/aps.2013.40.4.445.

Retrobulbar Hematoma in Blow-Out Fracture after Open Reduction

Affiliations
  • 1Department of Plastic and Reconstructive Surgery, Chosun University College of Medicine, Gwangju, Korea. jyyang@chosun.ac.kr

Abstract

Retrobulbar hemorrhage, especially when associated with visual loss, is a rare but significant complication after facial bone reconstruction. In this article, two cases of retrobulbar hematoma after surgical repair of blow-out fracture are reported. In one patient, permanent loss of vision was involved, but with the other patient, we were able to prevent this by performing immediate decompression after definite diagnosis. We present our clinical experience with regard to the treatment process and method for prevention of retrobulbar hematoma using a scalp vein set tube and a negative pressure drainage system.

Keyword

Orbital fractures; Retrobulbar hemorrhage; Orbit

MeSH Terms

Decompression
Drainage
Facial Bones
Hematoma
Humans
Orbit
Orbital Fractures
Retrobulbar Hemorrhage
Scalp
Veins
Vision, Ocular
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