Factor XIII deficiency leading to preseptal haematoma post-strabismus surgery

Jain, Mayank; Kekunnaya, Ramesh; Badakere, Akshay

doi:10.1136/bcr-2019-231457

Cited by 3 publications

(2 citation statements)

References 7 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The herniated meningocele displaced the posterior portion of the SR and LR. A previous study also reported a similar etiology [9] . Our patient was more myopic than those previously reported.…”

Section: Discussionsupporting

confidence: 83%

“Pulsating proptosis and heavy eye syndrome precipitated by neurofibromatosis type 1

et al. 2021

View full text Add to dashboard Cite

Rationale: Neurofibromatosis type 1 (NF1) is a hereditary disease characterized by café-au-lait spots, peripheral neurofibromas, Lisch nodules, optic nerve glioma, and sphenoid wing dysplasia. Pulsating proptosis is associated with a sphenoid bony defect. Heavy eye syndrome is characterized by acquired esohypotropia in patients with high myopia. This study aimed to describe the presentation of pulsating proptosis and heavy eye syndrome precipitated by NF1 and its management. Patient concerns: A 41-year-old woman presented with progressive pulsating proptosis and hypodeviation of the right eye over the past 2 years. The axial length of the right eye was 36.81 mm. The right eye presented with esohypotropia and hypoglobus. The ocular motility examination showed limitations in all directions, especially in supraduction. Brain computed tomography revealed sphenoid wing dysplasia of the right orbit. The meningocele protruded through the orbital defect, lifting the globe. Brain magnetic resonance imaging demonstrated superior rectus muscle (SR) medial displacement and lateral rectus muscle inferior displacement. Physical examination revealed café-au-lait macules and neurofibromas on the trunk. Diagnosis: NF1 with pulsating proptosis and heavy eye syndrome. Interventions: The patient declined neurosurgery due to risk and economic reasons. To manage her main concern regarding cosmetics, we performed orbital floor decompression, SR resection with advancement, maximal hang-back recession of the inferior rectus muscle, and a partial Jensen's procedure. Outcomes: Proptosis was reduced. The eye position became more symmetrical. The range of eye movements was also increased. Lessons: This case describes a rare synchronous presentation of pulsating proptosis and heavy eye syndrome precipitated by NF1. Adult-onset presentation implied a progressive process in NF1. The case also showed a different etiology from that of typical heavy eye syndrome. It reminds ophthalmologists that orbital imaging should be performed in high myopia patients with strabismus to evaluate the extraocular muscle pathway. Furthermore, the case demonstrated a management that avoided the risk and expensive cost of neurosurgery, which has not been reported.

show abstract

Section: Discussionsupporting

confidence: 83%

“Pulsating proptosis and heavy eye syndrome precipitated by neurofibromatosis type 1

et al. 2021

View full text Add to dashboard Cite

show abstract

“…It must be emphasized, that all the abovementioned episodes were noted in patients without any hematological disorders, which could explain the occurrence of RH. 6 , 7 Coagulation deficiencies are well-recognized risk factors for intraorbital hemorrhage 8 , 9 , 10 ; however, there are cases of RH that are hard to explain, or at least astonishing. A serious event of bilateral retrobulbar bleeding was reported in the course of strabismus surgery and was believed to be associated with concentrated garlic intake in the form of a tablet.…”

Section: Discussionmentioning

confidence: 99%

Retrobulbar hemorrhage during strabismus surgery

Gawęcki,

Kiciński

2024

American Journal of Ophthalmology Case Reports

View full text Add to dashboard Cite

Perioperative Recommendations for Corneal Refractive Surgery Patients With Inherited Bleeding Disorders

Moshirfar,

Reynolds,

Moin

et al. 2024

Cornea

View full text Add to dashboard Cite

Purpose: To synthesize the current literature regarding patients with inherited bleeding disorders and suggest comprehensive evaluation and preoperative recommendations for these patients before undergoing corneal refractive surgery. Methods: The literature search was conducted through PubMed, Embase, and Google Scholar databases for publications through January 4, 2024 for reports of ocular bleeding manifestations in patients with inherited bleeding disorders and reports of patients without a history of bleeding disorders who had intraoperative or postoperative hemorrhagic complications with corneal refractive surgery. Additional cases from the literature and a retrospective chart review at a corneal practice were obtained describing patients with inherited bleeding disorders who underwent corneal refractive surgery. Results: Four articles were found detailing ocular bleeding manifestations in patients with inherited bleeding disorders who underwent ocular surgery other than corneal refractive surgery. Thirty articles were found detailing intraoperative and postoperative bleeding manifestations in patients without a history of inherited bleeding disorders who underwent corneal refractive surgery. Eight cases (3 patients from the literature search and 5 patients from a retrospective chart review) were found regarding patients with inherited bleeding disorders who underwent corneal refractive surgery. Conclusions: For corneal refractive surgery with topical anesthesia, the perioperative risk and need for any hemostasis intervention in individuals with an inherited bleeding disorder depends on the type of disorder, status of preoperative factor level concentrations, or a prior history of bleeding. If required, clotting factor optimization should be tailored to each candidate on a case-by-case basis.

show abstract

Factor XIII deficiency leading to preseptal haematoma post-strabismus surgery

Cited by 3 publications

References 7 publications

“Pulsating proptosis and heavy eye syndrome precipitated by neurofibromatosis type 1

“Pulsating proptosis and heavy eye syndrome precipitated by neurofibromatosis type 1

Retrobulbar hemorrhage during strabismus surgery

Perioperative Recommendations for Corneal Refractive Surgery Patients With Inherited Bleeding Disorders

Contact Info

Product

Resources

About