Health Questions and Answers

How is retrobulbar hemorrhage treated?

Retrobulbar hemorrhage must be treated promptly, or it can lead to optic nerve compression and blindness. The wound must be opened to explore, identify, and control the bleeding vessel. Lateral canthotomy and cantholysis are done to decompress the orbit. Emergent ophthalmologic consultation is needed.

Reference:
Cruz AA, Ando A, Monteiro CA, et al: Delayed retrobulbar hematoma after blepharoplasty. Ophthal Plast Reconstr Surg 17:126-130, 2001.

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