Acute hemorrhage behind the orbit (retrobulbar) results in a number of clinical findings.
Clinical findings in retrobulbar hemorrhage:
(1) severe eye pain
(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.
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Specialty: Ophthalmology, Emergency Medicine, Surgery, general