Combined Subgaleal and Subperiosteal Orbital Hematoma in a Mentally Challenged Child: A Case Report

Special disabled children have a higher risk of trauma. Their management and cooperation could be a challenge for eyecare professionals. We present a case of head trauma following a trivial fall while playing that resulted in a left subgaleal, subperiosteal orbital hematoma and Acute Orbital Compartment Syndrome. We initially elected conservative management, but the hematoma did not decrease; therefore, two days later, the hematoma was drained under general anesthesia. Comprehensive assessment included Radio imaging investigations, ruling out other associated injuries, child abuse, and blood disease as possible etiology of hematoma was also conducted. Timely interventions and monitoring are critical for avoiding sight-threatening complications of Acute Orbital Compartment Syndrome.