Spontaneous Hemorrhage within the Rectus Muscle

Hakin, K N; McNab, AA; Sullivan, Thomas P.

doi:10.1097/00041327-199512000-00032

Cited by 1 publication

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“…Most of the hemorrhages disperse without any treatment, and the symptoms improve in several months (Takahashi et al 1988;Moorthy et al 1992;Griffeth et al 1997;Doan et al 2004). A spontaneous hemorrhage within an extraocular muscle is very rare, but has been re-ported in three adults with good prognosis (Hakin et al 1994).…”

confidence: 99%

Natural Course of Hematoma in Lateral Rectus Muscle Followed by Magnetic Resonance Imaging

Onami

Kunikata

Hojo

et al. 2005

Tohoku J. Exp. Med.

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We report a patient with a spontaneous intramuscular hematoma in the lateral rectus muscle of the eye that resolved without medication with maintenance of good vision. A 40-year-old woman presented with ocular pain and exophthalmos in her right eye. She had no history of trauma or surgery. Exophthalmos and limitation of abduction and supraduction of her right eye were present at the initial examination. Magnetic resonance (MR) images showed an intramuscular hematoma in the right lateral rectus muscle. Her other ocular findings were within normal limits. Five months later without any treatments, the MR images were within normal limits, and her ocular signs and symptoms were completely resolved. Careful observations including MR imaging is sufficient for patients with a spontaneous intramuscular hemorrhage in the extraocular muscle, and the visual prognosis is good.lateral rectus muscle; spontaneous orbital hemorrhage; intramuscular hematoma; exophthalmos; magnetic resonance imaging

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