Bilateral Orbital Hemorrhage Induced by Labor

Abstract

We describe a woman in whom bilateral orbital hemorrhage occurred during labor. She developed sudden proptosis and complete loss of vision bilaterally. After a stillbirth, she underwent total hysterectomy because of atonic uterus and postpartum hemorrhage. The location of the hematomas was confirmed by magnetic resonance imaging. Clinical resolution occurred in one month but both eyes remained blind. Fundoscopy revealed bilateral atrophy of the optic discs.

Traumatic bilateral intraorbital (subperiosteal) hematoma associated with epidural hematoma: case report

“…Sinusitis, coagulophaties, complications of ophtalmologic procedures, sinus or cranial surgery, and even labor are related among the systemic causes. Spontaneous intraorbital hematomas without any predisposing factor are very rare [6][7][8][9][10][11] . When the hematoma presents as diplopia, proptosis or other symptons and signs, without loss of visual acuity or signs of elevated intraocular pressure, some authorities advocate a trial of conservative management, ranging from observation alone to topical use of timolol maleate and intravenous or oral carbonic anhydrase inhibitors (acetazolamide).…”