Orbital Emergency in a Child: Retrobulbar Hematoma Induced by Extensive Subgaleal Hemorrhage
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.
Authors
- André Luís da Silva Fábris (ORCID: https://orcid.org/0000-0002-1777-2125)
- Eduardo Francisco de Souza Faco (ORCID: https://orcid.org/0000-0003-2914-3198)
- Izabela Fornazari Delamura (ORCID: https://orcid.org/0000-0001-8046-489X)
- Alexandre Franco Miranda (ORCID: https://orcid.org/0000-0002-9965-1406)
- Melissa Koto Murai (ORCID: https://orcid.org/0000-0003-2530-2665)
- Yasmin Martins de Sousa (ORCID: https://orcid.org/0000-0003-3744-920X)
- Francisco Flores (ORCID: https://orcid.org/0000-0002-8974-9717)
- Idelmo Rangel Garcia Júnior (ORCID: https://orcid.org/0000-0001-8892-781X)
Institutions
- Centro Universitario Toledo (BR)
- Universidade Estadual Paulista (Unesp) (BR)
Publication Details
- Journal
- Journal of Craniofacial Surgery
- Published
- 2025-09-30
- DOI
- https://doi.org/10.1097/scs.0000000000012015
- Primary Topic
- Facial Trauma and Fracture Management
- Type
- article
- Field-Weighted Citation Impact
- 0.00