Abstract
A 34-year-old healthy woman, gesta2 para1, complains, after an uncomplicated, term, vaginal delivery, of left ocular pressure associated with double vision. On physical examination, an orbital asymmetry with left eye proptosis and inferior deviation was observed. Ophthalmological examination revealed a left vertical diplopia with normal visual acuity (10/10, bilaterally).
Highlights
Nontraumatic orbital hemorrhage is an uncommon clinical entity, usually associated with vascular anomalies in the elderly [1]
Though the relationship of orbital hemorrhage after Valsalva Maneuver is well known, it is important to bring awareness of this pathology to healthcare professionals, especially to those who provide obstetric care, since visual complains may be associated with severe obstetric complications such as pre-eclampsia/ eclampsia, which should be excluded
We present a new case of a spontaneous, orbital hematoma on a healthy woman, after an uncomplicated, term, vaginal delivery
Summary
Nontraumatic orbital hemorrhage is an uncommon clinical entity, usually associated with vascular anomalies in the elderly [1]. It is even a rarer complication after labor with only 12 cases reported in the literature [2]. It seems to be associated with increased orbital vascular pressure during maternal expulsive efforts [2,3]. Though the relationship of orbital hemorrhage after Valsalva Maneuver is well known, it is important to bring awareness of this pathology to healthcare professionals, especially to those who provide obstetric care, since visual complains may be associated with severe obstetric complications such as pre-eclampsia/ eclampsia, which should be excluded.
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