Sudden Painful Proptosis following Orbital Evisceration: Early Implant Hemorrhage in the Anophthalmic Socket.

ABSTRACT:

Purpose

To report a case of early orbital hemorrhage following four-petal evisceration and highlighting the clinical presentation, diagnostic process, and surgical management.

Methods

A 49-year-old male patient, with a history of chronic renal insufficiency on renal replacement therapy and anticoagulation treatment, presented with sudden painful proptosis 1 week after four-petal evisceration. Orbital magnetic resonance imaging revealed a hyperintense area suggestive of hemorrhage around the implant. Initial management involved intravenous steroid therapy to alleviate symptoms.

Results

Despite the administration of steroids, the patient's proptosis and associated symptoms persisted. This led to the decision to perform surgical intervention. The surgical procedure encom

SUBMITTER: Mangan MS 

PROVIDER: S-EPMC12487810 | biostudies-literature | 2024 Oct-Dec

REPOSITORIES: biostudies-literature