Clinical Findings in Acute Retrobulbar Hemorrhage

 

Clinical findings in retrobulbar hemorrhage:

(1) severe eye pain

(2) proptosis

(3) loss of vision

(4) impaired eye movement(s)

(5) raised intra-ocular pressure if severe

 

Usually the changes are unilateral.

 

Imaging studies such as MRI or ultrasound should be helpful in making the diagnosis.

 

Proptosis may be missed if there is marked lid edema.

 

The most serious complication is blindness in the eye secondary to increased intraocular pressure.