The Ophthalmology Unit, Universiti Malaysia Sarawak (UNIMAS), Kuching, Sarawak.
The Ophthalmology Department, SarawakGeneralHospital,
Kuching, Sarawak, East Malaysia.
a
a
Retrobulbar
haemorrhage
Photo by Dr. Mahadhir Alhady
This 6 year-old was
referred from the casualty because his parents noted that he had difficulty
in moving his right eye following a fall in which he hit his right eye
against the edge of a chair. The visual acuity was normal in both eyes and
no relative pupillary defect was noted. There was a right hypertropia in the
primary position with restriction of up and downgaze. CT scan revealed a
large cystic lesion situated inferiorly in the retrobulbar space. The cystic
lesion contained blood fluid level. No action was taken because the vision
was normal and technical difficult of removing a lesion in the retrobulbar
lesion without damaging major structures. The lesion resolved spontaneously
and the patient's eye regained normal ocular movement.
Right proptosis and hypertropia.
Side view shows right proptosis.
Side view showing normal left eye.
CT scan showing a cystic lesion with
blood fluid level in the retrobulbar space.
