Retrobulbar hemorrhage

Background

• Most often due to blunt trauma
• Can cause loss of vision due to abrupt increase in intraocular pressure

Clinical Features

1. Pain
2. Proptosis
3. Decreasing vision

Diagnosis

1. Tonometry
   1. Only measure once globe rupture has been ruled-out
2. CT Orbit

Treatment

1. Emergent ophto consultation
2. Consider lateral Canthotomy if IOP >40

See Also

• Orbital Blowout Fracture
• Canthotomy
• Eye Algorithm (Main)
• Orbital Blunt Trauma

Source

Tintinalli