Retrobulbar haemorrhage following blunt trauma in a newly diagnosed haemophilia patient: Case report

Abstract

Haemophilia is a congenital disorder of coagulation. It presents with numerous and varied systemic manifestations depending on the severity of coagulation factor deficiency. There are also ocular manifestations ranging from simple subconjunctival haemorrhage to more debilitating complications like retinal, vitreous and retrobulbar haemorrhage which are potentially blinding. We report a patient who initially presented with what appeared to be simple post-traumatic retrobulbar haemorrhage. The diagnosis of a bleeding disorder was considered when difficulties in achieving haemostasis were encountered intra-operatively.