Orbital Vicarious Menstruation : Ophthalmic Plastic & Reconstructive Surgery

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Orbital Vicarious Menstruation

Dua, Prachi B.S.; Pointdujour, Renelle M.D.; Reich, Isaac M.D.; Lazzaro, Douglas R. M.D.; Shinder, Roman M.D.

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Ophthalmic Plastic and Reconstructive Surgery 30(2):p e35-e37, March/April 2014. | DOI: 10.1097/IOP.0b013e3182937527


A 31-year-old African-American woman with a medical history of well-controlled hypertension sought treatment for recurrent, monthly, unilateral orbital and subconjunctival hemorrhage for 1 year. The episodes were cyclical and coincided with the timing of her menstrual cycle. Examination findings included right periorbital fullness and subconjunctival hemorrhage. Extensive serologic and radiographic workup ruled out other potential causes of recurrent orbital hemorrhage. The patient was diagnosed with orbital vicarious menstruation and treated with oral contraceptive pills, with marked clinical improvement.

© 2014 by The American Society of Ophthalmic Plastic and Reconstructive Surgery, Inc., All rights reserved.

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