Post-traumatic Isolated Superior Rectus Hematoma Treated With Oral Steroids

We present a rare case of an isolated right superior rectus hematoma in a 14-year-old boy following a road traffic accident (RTA), which was effectively treated with oral corticosteroids alone. This case emphasizes the importance of prompt diagnosis and conservative treatment in isolated extraocular muscle hematomas. It also highlights the role of clinical awareness and imaging in guiding treatment while avoiding unnecessary surgery. Additionally, the case raises awareness about the rare presentations of orbital trauma and the effectiveness of non-invasive treatments.

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Publication Details

Journal
Cureus
Published
2025-04-05
DOI
https://doi.org/10.7759/cureus.81763
Primary Topic
Case Reports on Hematomas
Type
article
Field-Weighted Citation Impact
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article

Post-traumatic Isolated Superior Rectus Hematoma Treated With Oral Steroids

Zubaida Sirang, A. Mallick
Cureus
Case Reports on Hematomas
article

Post-traumatic Isolated Superior Rectus Hematoma Treated With Oral Steroids

Zubaida Sirang, A. Mallick
article en

Abstract

We present a rare case of an isolated right superior rectus hematoma in a 14-year-old boy following a road traffic accident (RTA), which was effectively treated with oral corticosteroids alone. This case emphasizes the importance of prompt diagnosis and conservative treatment in isolated extraocular muscle hematomas. It also highlights the role of clinical awareness and imaging in guiding treatment while avoiding unnecessary surgery. Additionally, the case raises awareness about the rare presentations of orbital trauma and the effectiveness of non-invasive treatments.

CureusVol. 17(4)
Aga Khan University Hospital (PK)
Good health and well-being
Openalex Percentile: Top 88%
Case Reports on Hematomas
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Post-traumatic Isolated Superior Rectus Hematoma Treated With Oral Steroids — Zubaida Sirang, A. Mallick · Cureus (2025) | TGRS Research Map | TGRS