Jacobs Journal of Ophthalmology

Nontraumatic Orbital Hemorrhage after Mitral Valve Replacement

*Dou Xinyan
Department Of Ophthalmology, Zhongshan Hospital Of Fudan University, China

*Corresponding Author:
Dou Xinyan
Department Of Ophthalmology, Zhongshan Hospital Of Fudan University, China
Email:Yuan.fei@zs-hospital.sh.cn

Published on: 2019-05-13

Abstract

Background: To report an unusual case of orbital hemorrhage after mitral valve replacement. Case Description: A 31 year old woman presented with an acute protrusion of the double eyes after mitral valve replacement. CT demonstrated non-enhancing convex hyper-dense mass in bilateral orbits. After conservative treatment, there was a complete remission of the left eye lesion, while his right eye still had no light perception. Conclusion: Conservative treatment is first considered, while on poor vision, an orbital decompression may be further recommended.

Keywords

Nontraumatic orbital hemorrhage; cardiovascular procedures

Introduction

A 31 year old woman with a 14 years medical history of infective endocarditis has undergone mitral valve replacement in our hospital. In the past 6 months, mitral valve replacement was performed in our hospital because of severe mitral valve stenosis. Heparin and warfarin anticoagulants were used during the operation. Notably, the patient’s central venous pressure was limited and maintained within 12 cm of water during the surgical procedure. The patient developed vomiting on the night of the operation. Moreover, swelling and ptosis had also developed immediately after mitral valve replacement.