Dr. Swapnil Dilip Ware, Dr. (Mrs) Potdar Nayana Anil, Dr. Akshay Nair, Dr. Simranjeet Aulakh
Aim: To report a case of a spontaneous non-traumatic orbital hematoma.
Methods: Retrospective case review
Results: A 12-year-old male presented with painful proptosis, periocular ecchymosis and chemosis of right eye. On examination, there was no visual impairment, with the pupil reacting normally to light. Fundus examination was normal. Orbital CT images showed a disorganised orbital hematoma. On eliciting a detailed history, his records showed prior treatment for hemophilia. The patient was started on factor VIII and systemic corticosteroids. Trans-septal orbital hemorrhage aspiration was done following which the patient showed clinical improvement with no visual compromise and was discharged.
Conclusion: Trauma is the most common cause for orbital hematomas of the orbit. Non-traumatic, spontaneous, orbital hematomas should be investigated for underlying coagulopathies.