Spontaneous subperiosteal orbital haemorrhage (SSOH): an unusual complication of acute coronary syndrome treatment
Acute coronary syndrome is a medical emergency with a high mortality and morbidity. Reperfusion therapy is widely used in its management. Ocular complications following reperfusion therapy is rare. A 51-year-old man treated with streptokinase, antithrombotic and dual antiplatelet therapy, developed...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Faculty of Medicine and Health Sciences, Universiti Putra Malaysia
2021
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| Online Access: | http://psasir.upm.edu.my/id/eprint/95136/ http://psasir.upm.edu.my/id/eprint/95136/1/2021100810153056_MJMHS_0840.pdf |
| _version_ | 1848862080019464192 |
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| author | Sivaratnam, Dhashani W Md Kasim, Wan Mariny Kanasan, Kirbashini Ming, Teck Yap Siew, Mooi Ching Devaraj, Navin Kumar |
| author_facet | Sivaratnam, Dhashani W Md Kasim, Wan Mariny Kanasan, Kirbashini Ming, Teck Yap Siew, Mooi Ching Devaraj, Navin Kumar |
| author_sort | Sivaratnam, Dhashani |
| building | UPM Institutional Repository |
| collection | Online Access |
| description | Acute coronary syndrome is a medical emergency with a high mortality and morbidity. Reperfusion therapy is widely used in its management. Ocular complications following reperfusion therapy is rare. A 51-year-old man treated with streptokinase, antithrombotic and dual antiplatelet therapy, developed mild proptosis following treatment. After four days, there was sudden worsening of the proptosis associated with orbital compartmental syndrome (OCS). The CT scan of the orbit showed a large spontaneous subperiosteal orbital hemorrhage (SSOH) occupying half of the left orbit. Despite performing an urgent lateral canthotomy and inferior cantholysis, the patient developed irreversible vision loss due to compressive optic neuropathy. While a few cases of mild SSOH have been reported in the medical literature, this is the first documented case of secondary bleed in SSOH. Early recognition and intervention by the treating physician, is crucial in preventing blindness. |
| first_indexed | 2025-11-15T13:11:20Z |
| format | Article |
| id | upm-95136 |
| institution | Universiti Putra Malaysia |
| institution_category | Local University |
| language | English |
| last_indexed | 2025-11-15T13:11:20Z |
| publishDate | 2021 |
| publisher | Faculty of Medicine and Health Sciences, Universiti Putra Malaysia |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | upm-951362023-04-12T02:23:18Z http://psasir.upm.edu.my/id/eprint/95136/ Spontaneous subperiosteal orbital haemorrhage (SSOH): an unusual complication of acute coronary syndrome treatment Sivaratnam, Dhashani W Md Kasim, Wan Mariny Kanasan, Kirbashini Ming, Teck Yap Siew, Mooi Ching Devaraj, Navin Kumar Acute coronary syndrome is a medical emergency with a high mortality and morbidity. Reperfusion therapy is widely used in its management. Ocular complications following reperfusion therapy is rare. A 51-year-old man treated with streptokinase, antithrombotic and dual antiplatelet therapy, developed mild proptosis following treatment. After four days, there was sudden worsening of the proptosis associated with orbital compartmental syndrome (OCS). The CT scan of the orbit showed a large spontaneous subperiosteal orbital hemorrhage (SSOH) occupying half of the left orbit. Despite performing an urgent lateral canthotomy and inferior cantholysis, the patient developed irreversible vision loss due to compressive optic neuropathy. While a few cases of mild SSOH have been reported in the medical literature, this is the first documented case of secondary bleed in SSOH. Early recognition and intervention by the treating physician, is crucial in preventing blindness. Faculty of Medicine and Health Sciences, Universiti Putra Malaysia 2021 Article PeerReviewed text en http://psasir.upm.edu.my/id/eprint/95136/1/2021100810153056_MJMHS_0840.pdf Sivaratnam, Dhashani and W Md Kasim, Wan Mariny and Kanasan, Kirbashini and Ming, Teck Yap and Siew, Mooi Ching and Devaraj, Navin Kumar (2021) Spontaneous subperiosteal orbital haemorrhage (SSOH): an unusual complication of acute coronary syndrome treatment. Malaysian Journal of Medicine and Health Sciences, 4. 419 - 421. ISSN 1675-8544; ESSN: 2636-9346 https://medic.upm.edu.my/upload/dokumen/2021100810153056_MJMHS_0840.pdf |
| spellingShingle | Sivaratnam, Dhashani W Md Kasim, Wan Mariny Kanasan, Kirbashini Ming, Teck Yap Siew, Mooi Ching Devaraj, Navin Kumar Spontaneous subperiosteal orbital haemorrhage (SSOH): an unusual complication of acute coronary syndrome treatment |
| title | Spontaneous subperiosteal orbital haemorrhage (SSOH): an unusual complication of acute coronary syndrome treatment |
| title_full | Spontaneous subperiosteal orbital haemorrhage (SSOH): an unusual complication of acute coronary syndrome treatment |
| title_fullStr | Spontaneous subperiosteal orbital haemorrhage (SSOH): an unusual complication of acute coronary syndrome treatment |
| title_full_unstemmed | Spontaneous subperiosteal orbital haemorrhage (SSOH): an unusual complication of acute coronary syndrome treatment |
| title_short | Spontaneous subperiosteal orbital haemorrhage (SSOH): an unusual complication of acute coronary syndrome treatment |
| title_sort | spontaneous subperiosteal orbital haemorrhage (ssoh): an unusual complication of acute coronary syndrome treatment |
| url | http://psasir.upm.edu.my/id/eprint/95136/ http://psasir.upm.edu.my/id/eprint/95136/ http://psasir.upm.edu.my/id/eprint/95136/1/2021100810153056_MJMHS_0840.pdf |