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Combined Subgaleal and Subperiosteal Orbital Hematoma in a Mentally Challenged Child: A Case Report

Year: 2025

Type: article

Abstract: Special disabled children have a higher risk of trauma. Their management and cooperation could be a challenge for eyecare professionals. We present a case of head trauma following a trivial fall while playing that resulted in a left subgaleal, subperiosteal orbital hematoma and Acute Orbital Compartment Syndrome. We initially elected conservative management, but the hematoma did not decrease; therefore, two days later, the hematoma was drained under general anesthesia. Comprehensive assessment included Radio imaging investigations, ruling out other associated injuries, child abuse, and blood disease as possible etiology of hematoma was also conducted. Timely interventions and monitoring are critical for avoiding sight-threatening complications of Acute Orbital Compartment Syndrome.

Source: Open Journal of Ophthalmology

DOI: 10.4236/ojoph.2025.152006

Authors: Amal Alhemidan, Nouf Aljowesir

Institution: Riyadh Armed Forces Hospital

Language: English

Topic: Traumatic Ocular and Foreign Body Injuries

Subfield: Ophthalmology

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: diamond

OpenAlex ID: W4409550972