Crawford Courtney, Mazzoli Robert
Ft. Campbell Army Ophthalmology, USA.
Digit J Ophthalmol. 2013 Jan 16;19(1):6-8. doi: 10.5693/djo.02.2013.01.001. Print 2013.
Most reports of orbital hemorrhage do not distinguish among intraconal, extraconal, and subperiosteal hemorrhages, although several reports describe isolated subperiosteal hematomas as a separate entity. We report 3 cases of subperiosteal hematoma with different etiologies but similar progression of signs and symptoms. Each patient presented with spontaneous proptosis, rarely caused by orbital subperiosteal hematoma, measuring approximately 5 mm. Over the course of 4-10 days their conditions worsened and warranted intervention. All 3 cases were treated with anterior orbitotomy, and visual acuity returned to baseline following surgery in all.
大多数关于眼眶出血的报告并未区分肌锥内、肌锥外和骨膜下出血,尽管有几份报告将孤立的骨膜下血肿描述为一种单独的病症。我们报告了3例病因不同但体征和症状进展相似的骨膜下血肿病例。每位患者均出现自发性眼球突出,这在眼眶骨膜下血肿中很少见,突出约5毫米。在4至10天的病程中,他们的病情恶化,需要进行干预。所有3例均接受了前路眼眶切开术治疗,术后所有患者的视力均恢复至基线水平。