Goyal Saurabh, Goel Ravi
Department of Ophthalmology, Kings College Hospital, London, UK.
Orbit. 2004 Sep;23(3):193-7. doi: 10.1080/01676830490504197.
A 65-year-old man with sudden profound loss of vision in his right eye due to sub-periosteal orbital haemorrhage was found to have disseminated intravascular coagulation (DIC) secondary to metastatic prostatic carcinoma. CT-scan did not reveal any orbital metastases. A lateral canthotomy did not help to restore the vision. Orbital haemorrhage is known to occur with DIC due to different causes. To the best of our knowledge this is the first report of orbital haemorrhage with DIC related to prostatic carcinoma. This case emphasises the importance of considering systemic factors in cases of non-traumatic haemorrhage, along with imaging studies to rule out any co-existing vascular anomaly.
一名65岁男性因骨膜下眼眶出血突然出现右眼视力严重丧失，被发现患有继发于转移性前列腺癌的弥散性血管内凝血（DIC）。CT扫描未发现任何眼眶转移灶。外眦切开术未能恢复视力。已知由于不同原因，DIC可导致眼眶出血。据我们所知，这是首例与前列腺癌相关的DIC导致眼眶出血的报告。该病例强调了在非创伤性出血病例中考虑全身因素以及进行影像学检查以排除任何并存血管异常的重要性。
