Department of Ophthalmology, The Alfred, Melbourne, Australia.
Orbit. 2022 Aug;41(4):485-487. doi: 10.1080/01676830.2021.1880445. Epub 2021 Jan 31.
Subperiosteal orbital haematoma (SOH) is an uncommon condition that involves bleeding within the potential space between the periosteum and orbital bone. This typically occurs within the superior orbit. If the SOH is large enough it can compress orbital structures and be sight threatening. Therefore, it is important for the clinician to recognize the potential causes for this phenomenon which will help guide the diagnosis. Herein we describe a unique case of unilateral SOH in a 47-year-old male following otherwise uncomplicated general anaesthesia. This occurred 6 weeks after a motorbike accident in which there was no facial/ocular injury. This case report identifies for the first time the potential for a late-onset SOH in the setting of a stressor event. It also highlights the potential for this condition to occur following general anaesthesia in a supine patient having a non-cardiac procedure, previously recognized as a potential stressor.
骨膜下眶血肿（SOH）是一种不常见的疾病，涉及骨膜和眼眶骨之间潜在空间内的出血。这种情况通常发生在上眼眶。如果 SOH 足够大，它可能会压迫眼眶结构并对视力造成威胁。因此，临床医生识别出这种现象的潜在原因非常重要，这有助于指导诊断。在此，我们描述了一例 47 岁男性单侧 SOH 的独特病例，该患者在接受全身麻醉后出现了这种情况，而全身麻醉本身并无异常。该病例报告首次确定了在应激事件中发生迟发性 SOH 的可能性。它还强调了在仰卧位接受非心脏手术的全身麻醉患者中，这种情况可能会发生，先前被认为是一种潜在的应激源。
