J Korean Ophthalmol Soc.  1999 Mar;40(3):840-846.

A Case of Subperiosteal Orbital Hematoma in Patient with Ethmoid and Maxillary Sinusitis

• Baek SH
• Lee TS

Abstract

Subperiosteal hematoma of the orbit is uncommon and mostly caused by trauma or some general diseases such as leukemia, hemophilia, and scurvy. Subperiosteal yhematoma associated with sinusitis which is not related to trauma and general diseases, however, is extremely rare. The authors report a case of subperiosteal hematoma of the orbit in 22-year-old man without a history of trauma and general diseases. He had proptosis, and sudden decreased visual acuity. Clinical features, and computerized tomography established the diagnosis of subperiosteal orbital hematoma secondary to ethmoid and maxillary sinusities. We could make definitive diagnosis by needle aspiration of blood using 18-gauge needle with a 10ml syringe at our OPD. To avoid complications such as compressive neuropathy, central retinal occlusion, and recurrence of hematoma, we managed it successfully by evacuation of blood and thermal cauterization to bleeding areas of periosteum, or bone.

Keyword

Needle aspiration and open surgical evacuation; Proptosis; Subperiosteal orbital hematoma

MeSH Terms

Cautery
Diagnosis
Exophthalmos
Hematoma*
Hemophilia A
Hemorrhage
Humans
Leukemia
Maxillary Sinus*
Maxillary Sinusitis*
Needles
Orbit*
Periosteum
Recurrence
Retinaldehyde
Scurvy
Sinusitis
Syringes
Visual Acuity
Young Adult
Retinaldehyde