Orbital Emergency in a Child: Retrobulbar Hematoma Induced by Extensive Subgaleal Hemorrhage
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Wolters Kluwer
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Orbital and extracranial hematomas in children present diagnostic and therapeutic challenges due to atypical and rapidly evolving symptoms. Retrobulbar hematoma (RBH), though rare, is an ophthalmologic emergency with a high risk of vision loss. This report describes an unusual case of RBH associated with subgaleal hematoma in an 8-year-old boy following a fall. The patient showed proptosis, periorbital ecchymosis, and occipital swelling. CT confirmed the hematomas, and urgent surgical drainage preserved visual function. This case highlights the need for early diagnosis, imaging, and a multidisciplinary approach in pediatric craniofacial trauma.
