Department of Ophthalmology, Gaziantep University, School of Medicine, Gaziantep, 27310, Turkey.
Department of Ophthalmology, Hatem Private Hospital, Gaziantep, Turkey.
BMC Ophthalmol. 2015 May 7;15:47. doi: 10.1186/s12886-015-0034-y.
Intraorbital haematoma is a rare clinical entity which can be caused by orbital traumas, neoplasms, surgeries nearby sinuses and orbit, vascular malformations, acute sinusitis, systemic abnormalities, barotrauma and valsalva maneuver.
A 74-year-old male presented with sudden onset of ocular pain, upper eye lid swelling, proptosis and diplopia after a commercial flight. After complete ophthalmic ocular examination including pupillary light reflexes and laboratory examinations; computed tomography and magnetic resonance imaging of orbit revealed a subperiostal mass-like lesion in the right retrobulbar-extraconal region which was compatible with intraorbital haematoma. Visual acuity was not compromised so we planned a conservative approach with close observation. We administered systemic corticosteroid and topical dorzolamide/timolol combination therapy. At the first month follow-up, intraorbital haematoma resolved without significant sequelae.
Intraorbital haematoma can be managed by conservative approach without any intervention if it does not threat visual acuity or optic nerve. We experienced a case of intraorbital haematoma during a commercial flight. We discussed the rarity of this condition and its management.
眼眶血肿是一种罕见的临床病症，可由眼眶外伤、肿瘤、鼻窦和眼眶附近的手术、血管畸形、急性鼻窦炎、全身异常、气压伤和瓦尔萨尔瓦动作引起。
一名 74 岁男性在乘坐商业航班后突发眼部疼痛、上眼睑肿胀、眼球突出和复视。进行了全面的眼科检查，包括瞳孔对光反射和实验室检查；眼眶 CT 和磁共振成像显示右侧眶后-眶外区骨膜下肿块样病变，符合眼眶血肿。视力不受影响，因此我们计划采用保守治疗，密切观察。给予全身皮质类固醇和局部多佐胺/噻吗洛尔联合治疗。在第一个月的随访中，眼眶血肿没有明显后遗症而自行消退。
如果眼眶血肿不威胁视力或视神经，可以通过保守治疗而无需任何干预。我们在商业航班上遇到了一例眼眶血肿。我们讨论了这种情况的罕见性及其治疗方法。
