Proptosis after hair pulling

Chee Chew Yip, Timothy J. McCulley, Robert C. Kersten, Dwight R. Kulwin

Research output: Contribution to journalArticlepeer-review

19 Scopus citations


We describe proptosis due to a subperiosteal orbital hematoma that originated from a subgaleal bleed caused by hair pulling. A 13-year-old boy presented with a one-week history of progressive proptosis after his older sister pulled his hair during an argument. Computerized tomography showed a subgaleal hematoma and a right superior subperiosteal orbital hematoma. Progressive proptosis and compressive optic neuropathy developed, necessitating surgical evacuation with a favorable outcome. Hair pulling can result in a subgaleal bleed with extension to the orbital subperiosteal space. When managing patients with a subgaleal hematoma, this vision-threatening complication should be considered and treated accordingly.

Original languageEnglish (US)
Pages (from-to)154-155
Number of pages2
JournalOphthalmic plastic and reconstructive surgery
Issue number2
StatePublished - Mar 2003
Externally publishedYes

ASJC Scopus subject areas

  • Surgery
  • Ophthalmology


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