[Spontaneous intraorbital hematoma].

A case of spontaneous intraorbital Haematoma is reported. A girl aged 13 years developed an acute unilateral Exophthalmos on the right side with disturbances of eye-motion, choked disc and nearly complete amaurosis within 3 days after onset. The etiology of the bleeding remains unknown. The diagnosis of orbital haematoma was made by the clinical picture and the computerized axial tomography (CAT) findings. Through a lateral orbitotomy was the extraperiorbital haematoma evacuated, with a complete recovery within two weeks. Twenty-two cases of the literature are reviewed. The possible aetiologic causes are discussed: haemorrhagic diatheses, arterial, vasomotoric and toxic diseases, the congestive and traumatic causes mentioned. The clinical picture and diagnositc procedures, especially the CAT, are reviewed. The surgical treatment with stress on the lateral orbitotomy is discussed.