Doubly Blinded: An Uncommon Cause of Acute Visual Loss Due to Orbital Compartment Syndrome

Clinics and Practice

Devi Nair¹  Khalid Sawalha² 

[1] Electrophysiology Division, White River Health System, Batesville, AR 72501, USA;Internal Medicine Division, White River Health System, Batesville, AR 72501, USA;

关键词: retrobulbar hematoma;    orbital compartment syndrome;   

DOI  :  10.3390/clinpract11020046

来源: DOAJ

【 摘 要 】

A 68-year-old female patient with a past medical history of atrial fibrillation on anticoagulation regimen with Apixaban and Clopidogrel presented for her scheduled Watchman device implantation. The device was indicated as patient was high risk for falling. Successful implantation of the left atrial appendage device was carried out, and the patient was sent to the floor. One hour after the procedure, the patient started having left-sided diplopia along with severe eye pain. An immediate CT scan of the head showed left superior orbital mass, concerning for hematoma. Urgent left canthotomy with cantholysis was conducted bedside. However, despite early interventions, the patient’s vision was lost.

【 授权许可】

Unknown