Subconjunctival hemorrhage as an initial manifestation of an orbital vascular malformation

Abstract

The present case report will describe an acute unexpected presentation of a venous lymphatic malformation of the orbit in a healthy 35-year-old female, without coagulation disorders or orbital trauma history and with a history of airplane travel 7 days before. The patient had an acute subconjunctival hemorrhage associated with periorbital ecchymosis, which begun 4 before. The orbital and cranioencephalic magnetic resonance (OCMR) imaging revealed an intraconal orbital lesion inferomedial to the optic nerve with venous congestion suggestive of a venous lymphatic malformation. The proposed treatment approach was non-interventive, with clinical observation and sequential OCMR. At last observation, the patient had no relevant ophthalmologic symptoms and no significant alterations.