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Spontaneous subperiosteal orbital hemorrhage
Maxwell D Elia1, David Shield, Michael Kazim
1Yale University School of Medicine, Ophthalmology and Visual Science , 40 Temple Street, New Haven, Connecticut 06510 , USA .
Orbit (Amsterdam, Netherlands)
|July 31, 2013
Summary
Spontaneous subperiosteal orbital hemorrhage (SSOH) is rare, often linked to increased cranial venous pressure or bleeding issues. Most cases require surgical intervention due to severe orbital symptoms or vision impairment.
Area of Science:
- Ophthalmology
- Neurosurgery
- Vascular Surgery
Background:
- Subperiosteal orbital hemorrhage (SSOH) is an uncommon condition, typically associated with trauma.
- Spontaneous cases are rarely documented, often linked to elevated cranial venous pressure, bleeding disorders, or sinusitis.
Purpose of the Study:
- To present a case series of spontaneous subperiosteal orbital hemorrhage (SSOH).
- To review systemic conditions associated with SSOH.
- To analyze the outcomes of surgical intervention for SSOH.
Main Methods:
- Retrospective review of 9 patients (11 orbits) diagnosed with SSOH.
- Clinical data collection including patient history, associated systemic conditions, and treatment outcomes.
- Review of relevant literature on SSOH.
Main Results:
- The study included 9 patients with 11 affected orbits.
- A significant majority (91%) of affected orbits required surgical intervention.
- Indications for surgery included advanced orbital signs and/or compromised visual acuity.
Conclusions:
- Spontaneous subperiosteal orbital hemorrhage (SSOH) is a rare but significant clinical entity.
- Associated systemic conditions should be investigated in patients presenting with SSOH.
- Prompt surgical intervention is often necessary to preserve vision and manage advanced orbital disease in SSOH cases.
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