Archives of Craniofacial Surgery (대한두개안면성형외과학회지)

Korean Cleft Palate-Craniofacial Association (대한두개안면성형외과학회)
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Delayed-type retrobulbar hematoma caused by low temperature after reconstruction of inferior blow-out fracture

  • Lee, Da Woon (Department of Plastic and Reconstructive Surgery, Soonchunhyang University Cheonan Hospital) ;
  • Kim, Tae Hyung (Department of Plastic and Reconstructive Surgery, Soonchunhyang University Gumi Hospital) ;
  • Choi, Hwan Jun (Department of Plastic and Reconstructive Surgery, Soonchunhyang University Cheonan Hospital) ;
  • Wee, Syeo Young (Department of Plastic and Reconstructive Surgery, Soonchunhyang University Gumi Hospital)
  • Received : 2021.02.17
  • Accepted : 2021.04.20
  • Published : 2021.04.20
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Abstract

Retrobulbar hemorrhage is a disastrous condition that can lead to permanent blindness. As such, rapid diagnosis and treatment are critical. Here, we report a patient who presented with retrobulbar hemorrhage following an orbital floor fracture. Restoration of inferior orbital wall with porous polyethylene implant was underwent. Four days after the orbital floor reconstruction, the patient smoked a cigarette outdoors in -3℃ weather. Cold temperature and smoking caused an increase in his systemic blood pressure. The elevated blood pressure increased intraorbital pressure to the extent of causing central retinal artery occlusion and exacerbated oozing. During exploratory surgery, 3 mL of hematoma and diffuse oozing without arterial bleeding were observed. Prompt diagnosis and treatment prevented vision impairment. Few studies have reported on the risk factors for retrobulbar hemorrhage. This case showed that daily activities, such as exposure to cold weather or tobacco smoking, could be risk factors for retrobulbar hemorrhage.

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References

  1. Cheon JS, Seo BN, Yang JY, Son KM. Retrobulbar hematoma in blow-out fracture after open reduction. Arch Plast Surg 2013;40:445-9. https://doi.org/10.5999/aps.2013.40.4.445
  2. Christie B, Block L, Ma Y, Wick A, Afifi A. Retrobulbar hematoma: a systematic review of factors related to outcomes. J Plast Reconstr Aesthet Surg 2018;71:155-61. https://doi.org/10.1016/j.bjps.2017.10.025
  3. Chen CH, Chen CT, Huang F. Retrobulbar hematoma as a rare complication after secondary correction of enophthalmos. J Craniofac Surg 2009;20:963-7. https://doi.org/10.1097/SCS.0b013e3181a2e312
  4. Beogo R, Coulibaly TA, Dolo MT, Traore I, Ouattara B, Diallo JW. Facial fracture-associated blindness. J Craniofac Surg 2018;29:751-3. https://doi.org/10.1097/SCS.0000000000004378
  5. Liu D. Blindness after blow-out fracture repair. Ophthalmic Plast Reconstr Surg 1994;10:206-10. https://doi.org/10.1097/00002341-199409000-00012
  6. Park CW, Yang JY, Son KM, Cheon JS. The estimation of postoperative bleeding after reduction of blowout fracture: the effectiveness of negative-pressure drainage system. J Craniofac Surg 2015;26:873-5. https://doi.org/10.1097/SCS.0000000000001364
  7. Eshraghi B, Torkashvand A, Katoozpour R, Anvari P. Delayed retrobulbar hemorrhage after reconstruction of inferior orbital wall fracture: a case report. J Egypt Ophthalmol Soc 2017;110:141-2. https://doi.org/10.4103/ejos.ejos_34_16
  8. Michael I, Lily D, Matthew JT. Retrobulbar hematoma following orbital floor reconstruction. Eplasty 2013;13:ic45.
  9. Omvik P. How smoking affects blood pressure. Blood Press 1996;5:71-7. https://doi.org/10.3109/08037059609062111
  10. Wang S, Li M, Hua Z, Ye C, Jiang S, Wang Z, et al. Outdoor temperature and temperature maintenance associated with blood pressure in 438,811 Chinese adults. Blood Press 2017;26:246-54. https://doi.org/10.1080/08037051.2017.1297676
  11. Son KM, Park CW, Cheon JS. A case report of bilateral retrobulbar hemorrhage after lower blepharoplasty. Arch Craniofac Surg 2013;14:133-6. https://doi.org/10.7181/acfs.2013.14.2.133
  12. Kang DH. Orbital wall restoring surgery with primary orbital wall fragments in blowout fracture. Arch Craniofac Surg 2019;20:347-53. https://doi.org/10.7181/acfs.2019.00724
  13. Matharu KS, Smith SV, Lee AG. Retrobulbar hemorrhage and prasugrel. Can J Ophthalmol 2016;51:e189-90. https://doi.org/10.1016/j.jcjo.2016.07.003

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  1. Orbital floor fracture repair with implants: a retrospective study vol.22, pp.4, 2021, https://doi.org/10.7181/acfs.2020.00640