Subperiosteal hematoma and orbital compression syndrome following minor frontal trauma in sickle cell anemia: case report.

Abstract:

:We report the case of an 11-year-old girl with sickle cell disease who presented to the emergency room after being hit by a mud pie in the left frontal region. Examination evidenced left eye proptosis, eyelid swelling, reduced visual acuity and afferent pupillary defect, without any inflammatory signs such as fever, hyperemia or tenderness. Computed tomography of the orbits showed a large superomedial subperiosteal hematoma in the left orbit. The patient was treated with canthotomy, cantholysis and surgical draining of the hematoma. Two days after drainage she persisted with a subperiosteal hematoma and low visual acuity. A wide exploration of the orbital roof through a lid crease approach disclosed a thickened superior orbital rim with multiple bone defects along the roof and with continuous bleeding. Hemostasis was accomplished with bone wax. Orbital compression was resolved and the patient recovered her previous normal visual acuity.

journal_name

Arq Bras Oftalmol

authors

Procianoy F,Brandão Filho M,Cruz AA,Alencar VM

doi

10.1590/s0004-27492008000200024

subject

Has Abstract

pub_date

2008-03-01 00:00:00

pages

262-4

issue

2

eissn

0004-2749

issn

1678-2925

pii

S0004-27492008000200024

journal_volume

71

pub_type

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