Evidence map›Paper›PMID 26664247›Full record

ArticleInternational medical case reports journal2015

Subperiosteal hematoma from peribulbar block during cataract surgery leading to optic nerve compression in a patient with parahemophilia.

Sudarshan Khokhar, Bhagabat Nayak, Bharat Patil, Milind Devidas Changole, Gautam Sinha, Reetika Sharma, Lipika Nayak

Open access · goldAbstract readCase Reports
In one paragraph

Article in International medical case reports journal, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact, top 84% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 3 citations in OpenAlex.

  1. Eye-opener: Lateral canthotomy in pigs: A randomised study.European journal of anaesthesiology and intensive care · 2025
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Sudarshan KhokharDr RP Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India.
Bhagabat NayakDr RP Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India.
Bharat PatilDr RP Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India.
Milind Devidas ChangoleDr RP Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India.
Gautam SinhaDr RP Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India.
Reetika SharmaDr RP Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India.
Lipika NayakDepartment of Pediatrics, Loknayak Hospital, Maulana Azad Medical College, Delhi, India.
All India Institute of Medical Sciences · INMaulana Azad Medical College · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A 17-year-old male presented with gradual painless diminution of vision since childhood. Slit lamp examination revealed both eyes having congenital cataract. Right eye lens aspiration was performed but was uneventful, and he prepared for left eye surgery after 7 days. Immediately after giving a peribulbar block, a complete akinesia, tight eyelids, and stony hard eyeball was noted. An abaxial proptosis of 7 mm was noted. Lateral canthotomy and inferior cantholysis were done and proptosis reduced to 5 mm. Bleeding time-clotting time was normal. Proptosis worsened to 8 mm the next day. Contrast-enhanced computed tomography scan showed inferolateral subperiosteal hematoma, but drainage could not be performed due to prolonged prothrombin time and activated prothrombin time. Fresh frozen plasma was transfused. Tarsorrhaphy was performed for exposure keratopathy after his coagulation profile became normal. Hematology evaluation after 2 weeks detected factor V deficiency, and was diagnosed as Owren's disease or parahemophilia.

Indexed as

hematomaoptic nerve compressionparahemophiliaperibulbar blocksubperiosteal

Identifiers

PMID26664247
PMCPMC4671758
OpenAlexW2194068207

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.