Traumatic Orbital Subperiosteal Hematoma With Acute Visual Compromise: Role of the Head and Neck Surgeon

Tom Shokri, Vijay A. Patel, Neerav Goyal

Research output: Contribution to journalArticle

Abstract

The primary goal was to report our institutional experience of a rare, vision-threatening complication following craniomaxillofacial trauma. A retrospective review was performed between January 2016 and January 2018 to identify 3 patients with traumatic orbital subperiosteal hematoma (OSPH). Visual acuity, intraocular pressures (IOPs), and the need for surgical intervention were abstracted. The age range was 36 to 88 years. Indications for surgical intervention include relative afferent pupillary defect, gaze restriction, visual impairment, and elevated IOP. Preoperatively, IOP range was 15.0 to 25.0. Two patients required OSPH evacuation via a medial brow approach. Follow-up after ocular injury ranged from 25 to 41 days, with IOP range of 13.0 to 16.0. Traumatic OSPH is an uncommon clinical finding; prompt assessment with consideration of surgical intervention may mitigate deleterious long-term morbidity, chiefly sudden blindness. Further research efforts may elucidate the optimal method in the management of this complex clinical entity.

Original languageEnglish (US)
JournalEar, Nose and Throat Journal
DOIs
StatePublished - Jan 1 2019

Fingerprint

Intraocular Pressure
Hematoma
Neck
Head
Pupil Disorders
Eye Injuries
Vision Disorders
Blindness
Visual Acuity
Morbidity
Surgeons
Wounds and Injuries
Research

All Science Journal Classification (ASJC) codes

  • Otorhinolaryngology

Cite this

@article{88ad4a78c73d4eb8ba52b5ce71fd5b1a,
title = "Traumatic Orbital Subperiosteal Hematoma With Acute Visual Compromise: Role of the Head and Neck Surgeon",
abstract = "The primary goal was to report our institutional experience of a rare, vision-threatening complication following craniomaxillofacial trauma. A retrospective review was performed between January 2016 and January 2018 to identify 3 patients with traumatic orbital subperiosteal hematoma (OSPH). Visual acuity, intraocular pressures (IOPs), and the need for surgical intervention were abstracted. The age range was 36 to 88 years. Indications for surgical intervention include relative afferent pupillary defect, gaze restriction, visual impairment, and elevated IOP. Preoperatively, IOP range was 15.0 to 25.0. Two patients required OSPH evacuation via a medial brow approach. Follow-up after ocular injury ranged from 25 to 41 days, with IOP range of 13.0 to 16.0. Traumatic OSPH is an uncommon clinical finding; prompt assessment with consideration of surgical intervention may mitigate deleterious long-term morbidity, chiefly sudden blindness. Further research efforts may elucidate the optimal method in the management of this complex clinical entity.",
author = "Tom Shokri and Patel, {Vijay A.} and Neerav Goyal",
year = "2019",
month = "1",
day = "1",
doi = "10.1177/0145561319854743",
language = "English (US)",
journal = "Ear, Nose and Throat Journal",
issn = "0145-5613",
publisher = "Medquest Communications LLC",

}

Traumatic Orbital Subperiosteal Hematoma With Acute Visual Compromise : Role of the Head and Neck Surgeon. / Shokri, Tom; Patel, Vijay A.; Goyal, Neerav.

In: Ear, Nose and Throat Journal, 01.01.2019.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Traumatic Orbital Subperiosteal Hematoma With Acute Visual Compromise

T2 - Role of the Head and Neck Surgeon

AU - Shokri, Tom

AU - Patel, Vijay A.

AU - Goyal, Neerav

PY - 2019/1/1

Y1 - 2019/1/1

N2 - The primary goal was to report our institutional experience of a rare, vision-threatening complication following craniomaxillofacial trauma. A retrospective review was performed between January 2016 and January 2018 to identify 3 patients with traumatic orbital subperiosteal hematoma (OSPH). Visual acuity, intraocular pressures (IOPs), and the need for surgical intervention were abstracted. The age range was 36 to 88 years. Indications for surgical intervention include relative afferent pupillary defect, gaze restriction, visual impairment, and elevated IOP. Preoperatively, IOP range was 15.0 to 25.0. Two patients required OSPH evacuation via a medial brow approach. Follow-up after ocular injury ranged from 25 to 41 days, with IOP range of 13.0 to 16.0. Traumatic OSPH is an uncommon clinical finding; prompt assessment with consideration of surgical intervention may mitigate deleterious long-term morbidity, chiefly sudden blindness. Further research efforts may elucidate the optimal method in the management of this complex clinical entity.

AB - The primary goal was to report our institutional experience of a rare, vision-threatening complication following craniomaxillofacial trauma. A retrospective review was performed between January 2016 and January 2018 to identify 3 patients with traumatic orbital subperiosteal hematoma (OSPH). Visual acuity, intraocular pressures (IOPs), and the need for surgical intervention were abstracted. The age range was 36 to 88 years. Indications for surgical intervention include relative afferent pupillary defect, gaze restriction, visual impairment, and elevated IOP. Preoperatively, IOP range was 15.0 to 25.0. Two patients required OSPH evacuation via a medial brow approach. Follow-up after ocular injury ranged from 25 to 41 days, with IOP range of 13.0 to 16.0. Traumatic OSPH is an uncommon clinical finding; prompt assessment with consideration of surgical intervention may mitigate deleterious long-term morbidity, chiefly sudden blindness. Further research efforts may elucidate the optimal method in the management of this complex clinical entity.

UR - http://www.scopus.com/inward/record.url?scp=85067835948&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85067835948&partnerID=8YFLogxK

U2 - 10.1177/0145561319854743

DO - 10.1177/0145561319854743

M3 - Article

C2 - 31170819

AN - SCOPUS:85067835948

JO - Ear, Nose and Throat Journal

JF - Ear, Nose and Throat Journal

SN - 0145-5613

ER -