Delayed orbital subperiosteal hemorrhage after blunt trauma.
A 21-year-old man presented with sudden-onset orbital hemorrhage, vision loss, and epistaxis 4 days after experiencing blunt trauma. Computed tomography revealed a subperiosteal hematoma in the medial orbit, extending to the orbital apex, and fractures of the medial and inferior orbital walls. After the hematoma was evacuated through a medial orbitotomy, orbital and visual symptoms improved. Although rare, vision-threatening subperiosteal hemorrhages may develop days after blunt orbital trauma and may require surgical evacuation.
Yazici
Bülent
B
Department of Ophthalmology, Uludag University, Bursa, Turkey. byazici@uludag.edu.tr
Taner
Pelin
P
D000328:Adult; D001766:Blindness / Q000209:etiology; D004322:Drainage / Q000379:methods; D005131:Eye Injuries / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D006406:Hematoma / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery; D006801:Humans; D008297:Male; D009408:Nerve Compression Syndromes / Q000175:diagnosis / Q000209:etiology; D009901:Optic Nerve Diseases / Q000175:diagnosis / Q000209:etiology; D009917:Orbital Fractures / Q000000981:diagnostic imaging / Q000209:etiology; D019315:Retrobulbar Hemorrhage / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D014057:Tomography, X-Ray Computed; D014949:Wounds, Nonpenetrating / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D014952:Wrestling / Q000293:injuries*