Wl. White et Rj. Mundis, Delayed orbital hemorrhage after cataract surgery in a patient with an acquired factor VIII inhibitor, AM J OPHTH, 132(5), 2001, pp. 785-786
PURPOSE: To report the occurrence of delayed orbital hemorrhage after catar
act surgery with retrobulbar anesthesia in a patient with previously unknow
n acquired factor VIII antibodies.
METHODS: Interventional case report. A 79-year-old woman underwent uneventf
ul 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 lo
ss of vision in patients with acquired factor VIII antibodies. (C) 2001 by
Elsevier Science Inc. All rights reserved.