doiSerbia

Surgical tretment of postcontusion orbital hem atom a in its late phase

Jovanović Miloš (Institut za očne bolesti 'Prof. dr Đorđe Nešić', Klinički centar Srbije, Beograd)

OBJECTIVE The object of the study was to present successfully performed decompression of the orbit in orbital hematoma. MATERIAL AND METHODS Male 51 years of age sustained the contusion injury of the right eye during his fall on the bath tap. It caused the development of a large orbital hematoma with protrusion, restricted movement of the eyeball, pain, diplopia folding of the retina due to hemtoma compression to bulbus oculi and retinal hemorrhages, higher intraocular pressure and impaired visual acuity to 2/60. He was treated by medicaments for a month, but the results were not favorable. After one month from the injury, anterior-inferior transcutaneous orbitotomy was performed. During the surgical intervention hematoma and a part of orbital fat tissue were removed. RESULTS The globe of the eye was retracted and the exophthalmos disappeared immediately after the surgery, while the mobility of the eyeball, disappearance of retinal folds with gradual receding of hemorrhage, normal intraocular pressure abatement of pain and diplopia as well as the restoration of visual acuity to normal ensued in a few subsequent days. CONCLUSION This study illustrated that decompression of the orbit in orbital hematoma might be successful even in the late phase, e.g., one month following the injury. It is assumed that surgical intervention would be performed by experienced orbital surgeon.

Keywords: orbital contusion, orbital hematoma, decompession of the orbit