title: Orbital Compartment Syndrome Following Post-Traumatic Subgaleal Hematoma.
abstract: Orbital extension of subgaleal hematoma is rare. This report describes the case of an otherwise healthy 10-year-old girl who developed delayed contralateral proptosis and external ophthalmoplegia after relatively minor right-sided forehead trauma. She was found to have bilateral subgaleal hematomas communicating with a left superior subperiostial orbital hematoma. Over the course of 2 days, she developed an orbital compartment syndrome requiring emergent canthotomy and cantholysis, followed by surgical incision and drainage of her scalp hematoma without orbitotomy. Hematologic work-up revealed heterozygous factor VII deficiency.
authors.affiliation: Wills Eye Hospital, Philadelphia, Pennsylvania, U.S.A.
authors.forename: Thomas L
authors.initials: TL
authors.lastname: Jenkins
authors.forename: Cindy X
authors.initials: CX
authors.lastname: Zheng
authors.forename: Ann P
authors.initials: AP
authors.lastname: Murchison
authors.forename: Jurij R
authors.initials: JR
authors.lastname: Bilyk
mesh_terms: D002648:Child; D003161:Compartment Syndromes / Q000209:etiology*; D006259:Craniocerebral Trauma / Q000150:complications*; D005168:Factor VII Deficiency / Q000150:complications; D005260:Female; D006406:Hematoma / Q000209:etiology*; D006801:Humans; D009916:Orbital Diseases / Q000175:diagnosis*