Orbital bleeding is usually post-traumatic but may occur less frequently due to coagulopathy resulting from vitamin C deficiency, anticoagulants, or leukemia. Retrobulbar injections prior to eye surgery and acute venous stasis such as may occur in coughing fits, asphyxia, or childbirth can also cause orbital hematomas. Exophthalmos may be accompanied by monocle or eyeglass hematoma, eyelid swelling, and subconjunctival hemorrhage; limited motility is rare. Surgical decompression of the orbital cavity (transfornix orbital decompression or orbitotomy) is indicated where damage to the optic nerve or blockage of the central retinal artery is imminent.
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