Ophthalmology


        

Case Discussion

Acute retrobulbar haemorrhage following exicison of meningioma of spinal cordiom o   Posted By Dr.Srinivas singaram    Date : 09-Oct-00   11:37 AM     Reply

sir, I work in general hospital and was asked to see a case of acute onset of proptosis following surgery of exicision of meningioma of the spinal cord at levelL3-L4 , the procedure took about 4 hours, the patient was made to lie down prone with face down during procedure and in immediate postoperative period. Immediate post operative period patient developed sudden acute proptosis, with subconjunctival haemorrahge, retraction of both eyelids of right eye, corneal exposure(even on forcible closure cornea is exposed) , severe chemosis.Vision was only perception of light. Fundus view not possible in immediate postoperative period due to corneal edema,later choroidal folds were seen. Please suggest mechanism of action of retrobulbar haemorrhage in this case and management..





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