Subperiosteal orbital hemorrhage following self-strangulation.
Subperiosteal orbital hematomas are uncommon. The delayed presentation of such an event is described in an anticoagulated patient who attempted self-strangulation. Despite the initial presence of a relative afferent pupillary defect, excellent visual recovery occurred, demonstrating the importance of prompt recognition and treatment. The causes, mechanism of visual loss, radiographic diagnosis, and treatment of subperiosteal hemorrhages are discussed.
Knox Cartwright
Nathaniel E
NE
Department of Ophthalmology, Bristol Eye Hospital, Bristol, UK. n.knox_cartwright@kcl.ac.uk
Hussin
Hussin M
HM
Biswas
Suman
S
Majid
Mohammed A
MA
Potts
Mike J
MJ
Kabala
Julian
J
Mayer
Eric J
EJ
D000328:Adult; D001237:Asphyxia / Q000150:complications*; D005094:Exophthalmos / Q000209:etiology; D006470:Hemorrhage / Q000175:diagnosis / Q000209:etiology*; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D009916:Orbital Diseases / Q000175:diagnosis / Q000209:etiology*; D013406:Suicide, Attempted; D014057:Tomography, X-Ray Computed; D014786:Vision Disorders / Q000209:etiology / Q000503:physiopathology; D014792:Visual Acuity