Traumatic Retrobulbar Haemorrhage: Aetio-pathology and management

摘要: Retrobulbar haematoma following blunt orbital trauma is a rare, but potentially serious complication, since it can evolve rapidly from visual impairment to permanent loss of vision. This sight-threatening situation most commonly arises bleeding accompanying undisplaced fractures the walls, an event that increases pressure inside orbit and results in vascular damage optic nerve. The clinical presentation includes pain, exophthalmos with proptosis, internal ophthalmoplegia, or pupillary reXex. A thin-layer CT scan essential diagnostic aid. Therapy based on decompression, via different surgical approaches, intention reducing nerve structures orbit. Emergent management utmost importance as any delay between onset symptoms treatment have significant effect recovery.