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Case Reports in Radiology
Volume 2015, Article ID 796834, 3 pages
http://dx.doi.org/10.1155/2015/796834
Case Report

Spontaneous Retrobulbar Haematoma

1Department of Radiology, Mugla Sitki Kocman University School of Medicine, 48000 Mugla, Turkey
2Department of Emergency Medicine, Mugla Sitki Kocman University School of Medicine, 48000 Mugla, Turkey
3Department of Infectious Disease, Mugla Sitki Kocman University School of Medicine, 48000 Mugla, Turkey
4Department of Radiology, Private Yucelen Hospital, 48000 Mugla, Turkey
5Department of Radiology, Ankara Numune Research and Training Hospital, 06100 Ankara, Turkey

Received 9 February 2015; Accepted 16 April 2015

Academic Editor: Poul Erik Andersen

Copyright © 2015 Mehmet Deveer et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Background. Spontaneous orbital haemorrhage is a very rare condition and vision-threatening event. It may occur due to trauma, orbital surgery/injections, orbital vascular anomalies, and a variety of systemic predisposing factors. Signs of retrobulbar hemorrhage include proptosis, ophthalmoplegia, increased intraocular pressure, loss of pupillary reflexes, and optic disc or retinal pallor. Both Computed Tomography scan and Magnetic Resonance Imaging may be performed in the diagnosis. Case Report. A 31-year-old woman was referred to our hospital with a complaint of headache and blurred vision following a strong sneeze. Ophthalmological examination revealed mild Relative Afferent Pupillary Defect in left eye. Computed Tomography revealed left hyperdense retrobulbar mass and displaced optic nerve. T1 weighted hypointense, T2 weighted hyperintense and non-enhanced round shape, sharply demarcated lesion measuring 18 × 15 × 14 × mm in diameter compatible with haematoma was detected by MRI. Surgically Caldwell-Luc procedure was performed. Histological examination confirmed haematoma. Follow-up Magnetic Resonance Imaging revealed a small reduction in the size of lesion but not complete resolution. The patient’s complaint was regressed. She is now free of symptoms and is still under surveillance. To our knowledge, this is the first reported case of retrobulbar haematoma caused by sneeze.