Delayed orbital hemorrhage after routine strabismus surgery.

PURPOSE

To report a case of delayed rectus muscle hemorrhage after strabismus surgery.

METHODS

Case report.

RESULTS

Rectus muscle hemorrhage occurred 36 hours after strabismus surgery in a 26-year-old man, causing temporary loss of vision and reduced ocular motility. Urgent lateral cantholysis and orbital exploration to restore hemostasis were undertaken. Full recovery of vision occurred and a small residual motility disturbance was present 3 months postoperatively.

CONCLUSION

Delayed rectus muscle hemorrhage poststrabismus surgery is rare but can have sight-threatening effects. When vision is threatened because of optic nerve compromise, urgent orbital exploration may allow full recovery of function.