Case ReportsOrbital Vicarious MenstruationDua, Prachi B.S.; Pointdujour, Renelle M.D.; Reich, Isaac M.D.; Lazzaro, Douglas R. M.D.; Shinder, Roman M.D. Author Information Department of Ophthalmology, SUNY Downstate Medical Center, Brooklyn, New York, U.S.A. Accepted for presentation March 5, 2013. Previously presented at the 2012 American Society of Ophthalmic Plastic and Reconstructive Surgery Fall Symposium on November 8 and 9, 2012 in Chicago, IL. Supported by Research to Prevent Blindness. The authors have no financial or conflicts of interest to disclose. Address correspondence and reprint requests to Roman Shinder, M.D., SUNY Downstate Medical Center, Department of Ophthalmology, 541 Clarkson Avenue, E building, 8th Floor, Suite C, Brooklyn, NY 11203. E-mail: [email protected] Ophthalmic Plastic and Reconstructive Surgery: March/April 2014 - Volume 30 - Issue 2 - p e35-e37 doi: 10.1097/IOP.0b013e3182937527 Buy Metrics Abstract 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.