A case of spontaneous orbital hematoma Junko Nakajima 1 , Hiromi Ishimura 1 , Tatsuya Iwami 2 , Atsushi Mekada 2 , Yasuhiro Nishida 2 1Dept of Ophthalmol, Saiseikai Shiga Hosp 2Dept of Ophthalmol, Shiga Univ of Med Sci pp.1347-1350
Published Date 1999/6/15
DOI https://doi.org/10.11477/mf.1410906450
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A 56-year-old famale presented with right exophthalmos one day after sudden onset. The condition was diagnosed as spontaneous orbital hematoma after examinations by computerized tomography (CT) , magnetic resonance imaging (MRI) and cerebral angiography. Examination by MRI facilitated evaluation of the amount of hemorrhage and the damage to the optic nerve better than CT. The hematoma subsided 20 days after treatment with systemic corticosteroid. This case illustrates that CT is useful in detecting orbital hematoma and that MRI gives more data in establishing the therapeutic guidelines. It shows that orbital hematoma may develop spontaneously and not necessarily posttraumatically.

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