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Common causes of orbital hemorrhage include trauma, surgery, vascular anomalies, tumors, and blood dyscrasias. Subperiorbital (subperiosteal) hemorrhage is less frequent. This entity has been reported rarely in healthy individuals after forceful Valsalva maneuver.1-3 We describe a 37-year-old man who suffered subperiorbital hemorrhage after an episode of migraine-associated emesis.
A 37-year-old white man with a medical history remarkable only for migraine headaches was seen 2 days after a typical migraine episode that included nausea and emesis. Immediately following emesis, the patient noted diplopia, decreased visual acuity of the left eye, pain with eye movement, and fullness about the left orbit.
Boyer MM, Lucarelli MJ. Valsalva-Induced Subperiorbital Hemorrhage During Migraine. Arch Ophthalmol. 1998;116(1):117–118. doi:https://doi.org/
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