Case Report
Copyright ©The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Feb 16, 2022; 10(5): 1689-1696
Published online Feb 16, 2022. doi: 10.12998/wjcc.v10.i5.1689
Bulbar conjunctival vascular lesion combined with spontaneous retrobulbar hematoma: A case report
Jia-Ying Lei, Hong Wang
Jia-Ying Lei, Hong Wang, Department of Ophthalmology, Qilu Hospital of Shandong University, Jinan 250012, Shandong Province, China
Author contributions: Lei JY presented the idea, learned about optic neuritis, hepatitis B virus, and immune complex disease, she also wrote the manuscript; Wang H reviewed and corrected the manuscript; and all authors have approved the manuscript and agree with submission to journal.
Informed consent statement: Written informed consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: The authors declare that they have no conflicts of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Hong Wang, BMed, Chief Physician, Professor, Department of Ophthalmology, Qilu Hospital of Shandong University, Wenhua West Road, Jinan 250012, Shandong Province, China. dr.wanghong@163.com
Received: August 31, 2021
Peer-review started: August 31, 2021
First decision: November 17, 2021
Revised: November 22, 2021
Accepted: January 8, 2022
Article in press: January 8, 2022
Published online: February 16, 2022
Processing time: 163 Days and 13.9 Hours
Core Tip

Core Tip: Orbital hemorrhage can be classified as traumatic or spontaneous according to its cause. Spontaneous orbital hemorrhage is an extremely rare and vision-threatening condition that may occur due to a variety of systemic predisposing factors. This case report suggests that patients with malformed periorbital vasculature should be alert for the risk of spontaneous intraorbital hemorrhage. In previous literature, we found reports of retrobulbar hematomas caused by sneezing or vomiting. However, to our knowledge, this is the first reported case of apparent bulbar conjunctival vascular malformation combined with retrobulbar hematoma caused by severe coughing.