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Bilateral hemorrhagic proptosis due to an uncommon cause in ocular emergency

A 19-year-old male patient presented to the ocular emergency services with sudden onset of proptosis, pain, and bloody discharge. Further evaluation revealed bilateral visual acuity of finger counting close to face vision with an accurate projection of rays. Computed tomography scan of the head and...

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Autores principales: Pujari, Amar, Mukhija, Ritika, Shashni, Adarsh, Obedulla, Hameed, Meel, Rachna, Bajaj, Mandeep S
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6113844/
https://www.ncbi.nlm.nih.gov/pubmed/30127177
http://dx.doi.org/10.4103/ijo.IJO_399_18
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author Pujari, Amar
Mukhija, Ritika
Shashni, Adarsh
Obedulla, Hameed
Meel, Rachna
Bajaj, Mandeep S
author_facet Pujari, Amar
Mukhija, Ritika
Shashni, Adarsh
Obedulla, Hameed
Meel, Rachna
Bajaj, Mandeep S
author_sort Pujari, Amar
collection PubMed
description A 19-year-old male patient presented to the ocular emergency services with sudden onset of proptosis, pain, and bloody discharge. Further evaluation revealed bilateral visual acuity of finger counting close to face vision with an accurate projection of rays. Computed tomography scan of the head and orbit revealed diffuse orbital hemorrhage (mainly along the ocular coats) in the absence of any subperiosteal or intracranial hemorrhage. A complete hematological workup was done and it revealed decreased factor IX levels (9% of normal) consistent with hemophilia B (Christmas disease). The patient was managed medically with factor IX supplementation. At the end of 6 weeks, patient's visual acuity improved to 20/20 in both the eyes.
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spelling pubmed-61138442018-09-05 Bilateral hemorrhagic proptosis due to an uncommon cause in ocular emergency Pujari, Amar Mukhija, Ritika Shashni, Adarsh Obedulla, Hameed Meel, Rachna Bajaj, Mandeep S Indian J Ophthalmol Case Reports A 19-year-old male patient presented to the ocular emergency services with sudden onset of proptosis, pain, and bloody discharge. Further evaluation revealed bilateral visual acuity of finger counting close to face vision with an accurate projection of rays. Computed tomography scan of the head and orbit revealed diffuse orbital hemorrhage (mainly along the ocular coats) in the absence of any subperiosteal or intracranial hemorrhage. A complete hematological workup was done and it revealed decreased factor IX levels (9% of normal) consistent with hemophilia B (Christmas disease). The patient was managed medically with factor IX supplementation. At the end of 6 weeks, patient's visual acuity improved to 20/20 in both the eyes. Medknow Publications & Media Pvt Ltd 2018-09 /pmc/articles/PMC6113844/ /pubmed/30127177 http://dx.doi.org/10.4103/ijo.IJO_399_18 Text en Copyright: © 2018 Indian Journal of Ophthalmology http://creativecommons.org/licenses/by-nc-sa/4.0 This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Case Reports
Pujari, Amar
Mukhija, Ritika
Shashni, Adarsh
Obedulla, Hameed
Meel, Rachna
Bajaj, Mandeep S
Bilateral hemorrhagic proptosis due to an uncommon cause in ocular emergency
title Bilateral hemorrhagic proptosis due to an uncommon cause in ocular emergency
title_full Bilateral hemorrhagic proptosis due to an uncommon cause in ocular emergency
title_fullStr Bilateral hemorrhagic proptosis due to an uncommon cause in ocular emergency
title_full_unstemmed Bilateral hemorrhagic proptosis due to an uncommon cause in ocular emergency
title_short Bilateral hemorrhagic proptosis due to an uncommon cause in ocular emergency
title_sort bilateral hemorrhagic proptosis due to an uncommon cause in ocular emergency
topic Case Reports
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6113844/
https://www.ncbi.nlm.nih.gov/pubmed/30127177
http://dx.doi.org/10.4103/ijo.IJO_399_18
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