We describe a woman in whom bilateral orbital hemorrhage occurred during labor. She developed sudden proptosis and complete loss of vision bilaterally. After a stillbirth, she underwent total hysterectomy because of atonic uterus and postpartum hemorrhage. The location of the hematomas was confirmed by magnetic resonance imaging. Clinical resolution occurred in one month but both eyes remained blind. Fundoscopy revealed bilateral atrophy of the optic discs.
KrohelG.B., WrightJ.E.. Orbital hemorrhage.Am J Ophthalmol1979; 88: 254–8.
2.
LawF.W.. Spontaneous orbital hemorrhage.Br J Ophthalmol1971; 55: 556–8.
3.
KatzB., CarmodyR.. Subperiostal orbital hematoma induced by the Valsalva Maneuver.Am J Ophthalmol1985; 100: 617–8.
4.
GeyerO., WassermanD., RothkoffL., LazarM.. Orbital haemorrhage induced by labor.Br J Ophthalmol1990; 74: 242.
5.
ShimuraM., KiyosawaM., AikawaH., TorrinagaT., MatsumotoW., TamaiM.. Sponteneous orbital hemorrhage in adult females.Ophthalmologica1992; 205: 149–57.
6.
JacobsonD.M., ItaniK., DigreK., OssoinigK.C., VarnerM.W.. Maternal orbital hematoma associated with labor.Am J Ophthalmol1988; 105: 547–53.
7.
DuntonJ.J., BurdeR.M.. Anterior ischemic neuropathy of the young.J Clin Neuro-Ophthalmol1983; 3: 137–46.
8.
LocketS.. Blindness associated with haemorrhage.Br J Ophthalmol1949; 33: 543–55.
9.
HayrehS.S.. Anterior ischemic optic neuropathy. VIII: clinical features and pathogenesis of post-hemorrhagic amaurosis.Ophthalmology1987; 94: 1488–502.
10.
JohnsonM.W., KincaidM.C., TrobeJ.D.. Bilateral retrobulbar optic nerve infarctions after blood loss and hypotension. A clinicopathologic case study.Ophthalmology1987; 94: 1577–84.
