Retrobulbar hematoma and visual loss following orbital fracture and reconstruction in older patients: A case report.

Retrobulbar hematoma (RBH) is a rare but potentially devastating complication of orbital fracture repair. Although timely orbital decompression within 90 minutes of symptom onset can restore vision, a delayed diagnosis may result in irreversible blindness. Special care should be taken to prevent the elderly from neglecting the symptoms and signs. Furthermore, medical checkups before surgery and imaging modalities, such as computed tomography scans, need to be considered. We report a case of postoperative RBH after right zygomaticomaxillary and orbital floor fracture repair, in which delayed recognition led to permanent visual loss despite emergency hematoma evacuation.