title: Intraorbital haematoma during a commercial flight: a case report.
abstract: BACKGROUND
  Intraorbital haematoma is a rare clinical entity which can be caused by orbital traumas, neoplasms, surgeries nearby sinuses and orbit, vascular malformations, acute sinusitis, systemic abnormalities, barotrauma and valsalva maneuver.
  
  
  METHODS
  A 74-year-old male presented with sudden onset of ocular pain, upper eye lid swelling, proptosis and diplopia after a commercial flight. After complete ophthalmic ocular examination including pupillary light reflexes and laboratory examinations; computed tomography and magnetic resonance imaging of orbit revealed a subperiostal mass-like lesion in the right retrobulbar-extraconal region which was compatible with intraorbital haematoma. Visual acuity was not compromised so we planned a conservative approach with close observation. We administered systemic corticosteroid and topical dorzolamide/timolol combination therapy. At the first month follow-up, intraorbital haematoma resolved without significant sequelae.
  
  
  CONCLUSIONS
  Intraorbital haematoma can be managed by conservative approach without any intervention if it does not threat visual acuity or optic nerve. We experienced a case of intraorbital haematoma during a commercial flight. We discussed the rarity of this condition and its management.
authors.affiliation: Department of Ophthalmology, Gaziantep University, School of Medicine, Gaziantep, 27310, Turkey. dralpermete@hotmail.com.
authors.forename: Alper
authors.initials: A
authors.lastname: Mete
authors.affiliation: Department of Ophthalmology, Hatem Private Hospital, Gaziantep, Turkey. pamukcu.can@gmail.com.
authors.forename: Can
authors.initials: C
authors.lastname: Pamukcu
authors.affiliation: Department of Radiology, Gaziantep University, School of Medicine, Gaziantep, Turkey. dr.meteahmet@gmail.com.
authors.forename: Ahmet
authors.initials: A
authors.lastname: Mete
authors.affiliation: Department of Ophthalmology, Sehitkamil Public Hospital, Gaziantep, Turkey. sabitkimyon@gmail.com.
authors.forename: Sabit
authors.initials: S
authors.lastname: Kimyon
authors.affiliation: Department of Radiology, Sehitkamil Public Hospital, Gaziantep, Turkey. ducemmete@gmail.com.
authors.forename: Duçem
authors.initials: D
authors.lastname: Mete
authors.affiliation: Department of Ophthalmology, Primer Private Hospital, Gaziantep, Turkey. dribrahimgozen@gmail.com.
authors.forename: İbrahim
authors.initials: İ
authors.lastname: Gözen
authors.affiliation: Department of Ophthalmology, Gaziantep University, School of Medicine, Gaziantep, 27310, Turkey. oguzsaygili@yahoo.com.
authors.forename: Oğuzhan
authors.initials: O
authors.lastname: Saygılı
mesh_terms: D000368:Aged; D064870:Air Travel; D004172:Diplopia / Q000175:diagnosis; D004338:Drug Combinations; D004487:Edema / Q000175:diagnosis; D058447:Eye Pain / Q000209:etiology; D005141:Eyelid Diseases / Q000175:diagnosis; D005938:Glucocorticoids / Q000627:therapeutic use; D006406:Hematoma / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000209:etiology*; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D009916:Orbital Diseases / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000209:etiology*; D013449:Sulfonamides / Q000627:therapeutic use; D013876:Thiophenes / Q000627:therapeutic use; D013999:Timolol / Q000627:therapeutic use; D014057:Tomography, X-Ray Computed; D014636:Valsalva Maneuver
chemical_list: D004338:Drug Combinations; D005938:Glucocorticoids; D013449:Sulfonamides; D013876:Thiophenes; C479140:dorzolamide-timolol combination; D013999:Timolol