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An elderly patient on Coumadin presented to the emergency department one day after left eye surgery. She complained of orbital pain and vision loss. On examination there was eyelid ecchymoses, chemosis and proptosis (figure 1). There was complete vision loss with preservation of light sense. The patient went to the operating room for emergent decompressive surgery. She regained full vision in her eye. …
Patient consent Obtained.
Contributors BH and SH had a substantial contribution to conception and design, or analysis and interpretation of data, drafting the article or revising it critically for important intellectual content and final approval of the version to be published.
Competing interests None.
Provenance and peer review Not commissioned; internally peer reviewed.