Aseptic Orbital Cellulitis as a Complication of Suprachoroidal Hemorrhage

Abstract

Suprachoroidal hemorrhage is a rare and potentially devastating clinical entity seen in individuals on anticoagulation presenting with severe unilateral eye pain, sudden vision loss, and elevated intraocular pressures. Herein, we report the first case of aseptic orbital cellulitis caused by recurrent spontaneous suprachoroidal hemorrhage. This case highlights an example of non-infectious orbital cellulitis arising from choroidal pathology in the setting of uncontrolled intraocular pressures and recurrent intraocular bleeding. Surgical intervention with blood drainage should be considered to prevent complications and preserve the globe.

Suprachoroidal Hemorrhage

“…Spontaneous SCH mainly presents with severe unilateral ocular pain and headache, sudden severe vision loss, shallowing of the AC, and dilated and fixed pupil [2, 135]. Intraoperative SCH presents with AC shallowing, hardening of the globe, rapidly progressing black shadow from the back of the eye and absence of red reflex, elevated IOP, posterior capsule stretching, and prolapse of intraocular contents such as the iris, lens/intraocular lens, vitreous, and retina [65, 77].…”