Cirrhosis-related coagulopathy resulting in disseminated intravascular coagulation and spontaneous orbital hemorrhages

Julia Nemiroff, Samuel Baharestani, Viral V. Juthani, Kathryn S. Klein, Chris Zoumalan

Research output: Contribution to journalArticle

3 Scopus citations

Abstract

A 33-year-old patient presented to our Emergency Department (ED) with left-sided eyelid ecchymoses and edema. A CT scan of the orbits demonstrated a left retrobulbar hemorrhage, prompting an ophthalmology consultation. Upon examination, the patient reported worsening eye pain and decreasing vision in the left eye. Despite aggressive management with superior and inferior lateral canthotomy/cantholysis with placement of an orbital drain, visual loss occurred, and the patient ultimately expired from her systemic condition. Coagulopathy from liver disease resulting in systemic hemorrhage is commonly seen. Orbital hemorrhage in this setting requires emergent diagnosis and management to prevent irreversible compressive optic neuropathy.

Original languageEnglish (US)
Pages (from-to)372-374
Number of pages3
JournalOrbit
Volume33
Issue number5
DOIs
Publication statusPublished - Oct 1 2014
Externally publishedYes

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Keywords

  • Cirrhosis
  • Retrobulbar hemorrhage
  • Spontaneous orbital hemorrhage

ASJC Scopus subject areas

  • Ophthalmology

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