Hematoma subperiósteo e compressão orbitária após trauma frontal leve na anemia falciforme: Relato de caso

Translated title of the contribution: Subperiosteal hematoma and orbital compression syndrome following minor frontal trauma in sickle cell anemia: Case report

Fernando Procianoy, Mauro Brandão Filho, Antonio Augusto Velascoe Cruz, Victor Marques Alencar

Research output: Contribution to journalArticle

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.

Translated title of the contributionSubperiosteal hematoma and orbital compression syndrome following minor frontal trauma in sickle cell anemia: Case report
Original languagePortuguese
Pages (from-to)262-264
Number of pages3
JournalArquivos brasileiros de oftalmologia
Volume71
Issue number2
DOIs
StatePublished - Jan 1 2008

Keywords

  • Anemia, sickle-cell
  • Case reports
  • Craniocerebral trauma/complications
  • Frontal bone
  • Hematoma/etiology
  • Optic nerve injuries
  • Orbit/surgery

ASJC Scopus subject areas

  • Ophthalmology

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