Department of Ophthalmology.
Department of Obstetrics and Gynaecology, University Hospital of Larissa, Larissa, Greece.
J Craniofac Surg. 2021;32(2):e219-e220. doi: 10.1097/SCS.0000000000006760.
Subperiosteal orbital hemorrhage in the postpartum period has been rarely reported. The authors herein present a female patient who developed acute-onset vertical diplopia, proptosis, mild retro-orbital pain, and restriction of upgaze immediately after labor. Neuroimaging revealed a subperiosteal hematoma along the right orbital roof. Diplopia, motility limitation, and retro-orbital pain gradually resolved in the following weeks. Subperiosteal orbital hematomas are a rare complication of labor, with only 12 cases reported so far. They result from straining during labor, which increases central and orbital venous pressure by means of the Valsalva-maneuver. In order to evaluate ocular motility and exclude optic nerve compression, an urgent ophthalmological examination is required.
产后骨膜下眶内血肿极为罕见。作者在此报告了 1 例女性患者，其在分娩后立即出现急性垂直复视、眼球突出、轻度眶后疼痛和上视受限。神经影像学显示右侧眶顶骨膜下血肿。复视、运动受限和眶后疼痛在接下来的几周内逐渐缓解。骨膜下眶内血肿是分娩的罕见并发症，迄今为止仅报告了 12 例。它们是由于分娩时用力导致的，通过瓦尔萨尔瓦动作增加了中心和眶内静脉压。为了评估眼球运动并排除视神经压迫，需要紧急眼科检查。
