Spontaneous bilateral orbital subperiosteal hemorrhage resulting from thoracoabdominal crush injury.

Orbital subperiosteal hemorrhage in the absence of facial fractures is uncommon. We report an unusual case of spontaneous bilateral orbital subperiosteal hemorrhage from a thoracoabdominal crush injury. To our knowledge, this is the second case report of this entity occurring in the setting of thoracic compression. Recognition and management of orbital subperiosteal hemorrhage is important to prevent optic nerve compromise and blindness.