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ARTICLE
Year : 1967  |  Volume : 15  |  Issue : 4  |  Page : 157

A case of vitreous haemorrhage following orbital cellulitis


Govt. Ophthalmic Hospital and Medical College, Madras, India

Date of Web Publication21-Jan-2008

Correspondence Address:
C S Kalidasan
Govt. Ophthalmic Hospital and Medical College, Madras
India
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Source of Support: None, Conflict of Interest: None


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How to cite this article:
Kalidasan C S. A case of vitreous haemorrhage following orbital cellulitis. Indian J Ophthalmol 1967;15:157

How to cite this URL:
Kalidasan C S. A case of vitreous haemorrhage following orbital cellulitis. Indian J Ophthalmol [serial online] 1967 [cited 2020 Oct 28];15:157. Available from: https://www.ijo.in/text.asp?1967/15/4/157/38799

Shree V. Iyer (52 yrs.) came on 26-12.1966 with a complaint of profuse discharge from the eyes. He was given silver nitrate drops and broad spectrum antibiotic ointment. The discharge sub­sided and the eyes were white. On 14th Jan. '67, a stye developed in the left upper lid which gradually swelled up. Ledermycin 1 capsule three time daily was administered in addition, but in­spite of that there was severe oedema of lids, chemosis, and restricted move­ment of the eyeball which was pro­truding. After four days' treatment the chemosis was less and the eye lids could be opened but the patient com­plained of gross diminution of vision (only perception of hand movements). The movements of the eyes were restored. The eyes became also apparently normal. Fundus examina­tion revealed frank blood in the vitre­ous which even after six months now has not yet cleared up. The vision is still only hand movements. Tension was normal throughout. Vision and fundus of the other eye were normal.


  Investigations Top


B.P. 130/81.

Hoemoglobin-95 % .

R.B.C. count 4.8 million/c. mm.

W.B.C. count-7400/c. mm.

E.S.R.-1/2 hr.-5 mm.

1 hr.-12 mm.

Blood film for microfilaria-Nega­tive.

Urine-Sugar and Albumin-Nil.

Bleeding and coagulation time-­Normal.


  Treatment Top


1. Calcium gluconate with Vita­min C. 1 amp. daily.

2. Styptovit tabs. and stypto­chrome inj. I.M. daily.

This case is interesting because vit­reous hemorrhage followed imme­diately after the orbital cellulitis. Evi­dently, the cellulitis has caused throm­bosis with rupture of the central re­tinal vein and its branches to produce a vitreous haemorrhage.




 

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