Spontaneous Retrobulbar Hemorrhage in a Previously Healthy Infant

Yunia Irawati, Avisena Pratama, Carennia Paramita, Anna P. Bani, Fitri Primacakti

Research output: Contribution to journalArticlepeer-review


Spontaneous retrobulbar hemorrhage is a rare yet vision-threatening condition. We reported a 5-month-old male infant with sudden onset of left eye proptosis with no prior history of getting vitamin K injection after birth. Head computed tomography scan revealed retrobulbar and intracranial hemorrhages. Laboratory results showed anemia, prolonged prothrombin and activated partial thromboplastin time, supporting the diagnosis of vitamin K deficiency bleeding. After the bleeding and clotting profile were stabilized, lateral canthotomy and cantholysis; and drainage following orbital decompression were successfully performed, yielded in a completely resolved proptosis. The right timing for surgery with the goal of releasing intraorbital pressure represent the merit of this paper. Our case also led to a crucial emphasis on vitamin K prophylaxis at birth.

Original languageEnglish
Pages (from-to)E302-E305
JournalJournal of Pediatric Hematology/Oncology
Issue number1
Publication statusPublished - 1 Jan 2022


  • cantholysis
  • lateral canthotomy
  • proptosis
  • spontaneous retrobulbar hemorrhage
  • vitamin K deficiency bleeding


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