Division of Oculoplastic Surgery, Department of Ophthalmology, Weill Cornell Medical College, New York, New York 10021, USA.
Ophthalmic Plast Reconstr Surg. 2010 Nov-Dec;26(6):481-3. doi: 10.1097/IOP.0b013e3181d125f4.
A 76-year-old man was referred to the oculoplastic surgery service with a retrobulbar hemorrhage 1 day after intraocular surgery. A canthotomy and inferior cantholysis was performed. The patient then developed a new orbital hematoma in the region of the canthotomy 14 days later. The patient was treated conservatively with warm compresses and close observation with continued resolution of the secondary hematoma. Visual complications from the secondary hematoma may have been avoided by delaying closure of the initial canthotomy wound. Ophthalmologists should be aware of the risk of bleeding after lateral canthal procedures, particularly in patients who have already presented with ocular or periocular hemorrhagic complications. A brief review of orbital hemorrhage following eyelid surgery is provided.
一位 76 岁男性在眼整形手术后 1 天出现眶内血肿，被转诊至眼整形科。进行了内眦切开和下眦松解术。14 天后，患者在内眦切开部位出现新的眶内血肿。患者接受了保守治疗，包括热敷和密切观察，继发性血肿持续消退。如果延迟关闭最初的内眦切开伤口，可能可以避免继发性血肿引起的视力并发症。外侧眦部手术后出血的风险应引起眼科医生的注意，特别是对于已经出现眼部或眶周出血性并发症的患者。本文简要回顾了眼睑手术后的眶内出血。
