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Pediatric posttraumatic orbital subperiosteal hematoma
Bahram Eshraghi1, Marjan Razi-Khosroshahi2,3, Hamidreza Hasani2,4
1Translational Ophthalmology Research Center, Farabi Eye Hospital, Tehran University of Medical Sciences, Tehran, Iran.
Insights
This study reports on five pediatric cases of posttraumatic orbital subperiosteal hematoma. Most patients recovered well with treatments like observation, aspiration, or surgical drainage.
Area of Science:
- Ophthalmology
- Pediatric Traumatology
- Emergency Medicine
Background:
- Orbital subperiosteal hematomas can occur after trauma.
- Understanding their presentation and management in children is crucial.
Aim:
To report five children with posttraumatic orbital subperiosteal hematoma.
Methods:
In this study, five cases with posttraumatic orbital subperiosteal hematoma were studied and reviewed along with similar cases in a systematic literature review.
Results:
The mean age of our patients was 9.40 ± 3.51 years, ranging from 4 to 13 years, and all were male. Mechanisms of injuries were blunt trauma, falling from a building, car accident, and falling from a bicycle. All patients had unilateral involvement. Treatment options included needle aspiration, surgical drainage, and observation for spontaneous resolution. Except for one patient, positive outcomes were achieved.
Conclusion:
The most common location for posttraumatic orbital subperiosteal hematoma is the superior orbital wall. Traumatic optic neuropathy and permanent visual loss are uncommon. Observation, surgical drainage, and aspiration are common treatment options.
