Delayed orbital hemorrhage after cataract surgery in a patient with an acquired factor VIII inhibitor.

Abstract

PURPOSE:

To report the occurrence of delayed orbital hemorrhage after cataract surgery with retrobulbar anesthesia in a patient with previously unknown acquired factor VIII antibodies.

METHODS:

Interventional case report. A 79-year-old woman underwent uneventful cataract surgery with retrobulbar anesthesia and subsequently incurred a severe orbital hemorrhage 12 hours postoperatively.

RESULTS:

Despite aggressive surgical and medical intervention, the patient lost all vision in the involved eye.

CONCLUSION:

Delayed postoperative retrobulbar hemorrhage may cause total loss of vision in patients with acquired factor VIII antibodies.

• Authors: W L White, R J Mundis
• Journal: American journal of ophthalmology (Am J Ophthalmol) Vol. 132 Issue 5 Pg. 785-6 (Nov 2001) ISSN: 0002-9394 [Print] United States
• PMID: 11704045 (Publication Type: Case Reports, Journal Article)

Chemical References

• Autoantibodies
• Factor VIII

Topics

• Aged
• Anesthesia, Local
• Autoantibodies (blood)
• Blindness (etiology)
• Factor VIII (immunology)
• Female
• Hemophilia A (diagnosis, therapy)
• Humans
• Partial Thromboplastin Time
• Phacoemulsification (adverse effects)
• Retrobulbar Hemorrhage (etiology)