TY - JOUR T1 - ORbital hemorrhage after thrombolytic therapy AU - Roaf E, DaSilva C, Tsao K Y1 - 1997/12/08 N1 - 10.1001/archinte.1997.00440430152031 JO - Archives of Internal Medicine SP - 2670 EP - 2670 VL - 157 IS - 22 N2 - Most forms of recently performed surgery are contraindications to intravenous thrombolytic therapy because of the risk for bleeding from the operative site. However, emergent thrombolytic therapy has been used in the perioperative period following cataract extraction without long-term sequelae. Case reports of complications following such interventions have documented conjunctival hemorrhage and short-term visual loss from hyphemas following cataract extraction with thrombolytic therapy for as long as 8 days following surgery.1,2 Although bleeding from the operative site has been reported, bleeding from the anesthetic site has not been described, and there have been no reports of cases that resulted in a permanent loss of vision. We report a case of orbital hemorrhage of the anesthetic site following intravenous thrombolytic therapy that resulted in permanent visual loss.Report of a Case.  A 71-year-old man presented to the hospital with complaints of substernal chest pain, nausea, and perspiration of 2 hours' duration. SN - 0003-9926 M3 - doi: 10.1001/archinte.1997.00440430152031 UR - http://dx.doi.org/10.1001/archinte.1997.00440430152031 ER -