Bilateral Subperiosteal Hematoma and Orbital Compression Syndrome in Sickle Cell Disease.

Authors:
Cem Sundu
Cem Sundu
Mersin University
Erdem Dinc
Erdem Dinc
Gazi University Medical Faculty
Turkey
Ayca Sari
Ayca Sari
School of Medicine
Turkey
Selma Unal
Selma Unal
Hacettepe University
Turkey
Ozer Dursun
Ozer Dursun
Mersin State Hospital
Turkey

J Craniofac Surg 2017 Nov;28(8):e775-e776

*Şehit Kamil State Hospital, Ophthalmology Clinic, G.Antep †Department of Ophthalmology ‡Division of Pediatric Hematology, Faculty of Medicine, Mersin University §Mersin State Hospital, Ophthalmology Clinic, Mersin, Turkey.

A 14-year-old boy with sickle cell disease presented with preseptal cellulitis findings as proptosis, eyelid edema, and hyperemia. His best corrected visual acuity in the right eye was 20/20 and 16/20 in the left eye. He had limited ductions in vertical and lateral gazes in both eyes. Bilateral venous tortuosity was observed in posterior segment examination. Orbital bone infarction and subperiosteal hematoma were seen in magnetic resonance imaging. He was diagnosed as having orbital compression syndrome secondary to vaso-occlusive crisis of sickle cell disease and was treated with intravenous ampicilin-sulbactam and methylprednisolone.
PDF Download - Full Text Link
( Please be advised that this article is hosted on an external website not affiliated with PubFacts.com)
Source Status
http://dx.doi.org/10.1097/SCS.0000000000003972DOI ListingPossible
November 2017
9 Reads

Similar Publications

Sickle beta-thalassemia presenting as orbital compression syndrome.

Ann Hematol 2004 Aug 18;83(8):536-40. Epub 2004 Feb 18.

Department of Haematology, All India Institute of Medical Sciences, New Delhi, India.

Orbital compression syndrome is caused by disorders of varying etiologies involving the orbit and presents with ocular and extraocular dysfunction. Ocular involvement of sickle cell disease is uncommon. A 17-year-old male presented with low backache and proptosis of both eyes of 5 days duration without past history of pain crisis or transfusion. Read More

View Article
August 2004

Bilateral orbital bone infarction in sickle-cell disease.

Ophthalmic Plast Reconstr Surg 2011 Mar-Apr;27(2):e26-7

Department of Ophthalmology, Boston University School of Medicine, Boston, Massachusetts 02118, USA.

This is a case of a 2-year-old boy with sickle cell disease who presented with bilateral eyelid swelling, limited extraocular motility, and lateral subperiosteal fluid collection associated with bilateral lateral orbital wall infarctions on MRI. The patient was managed medically with intravenous fluids, analgesics, broad-spectrum antibiotics, systemic steroids, and clinically improved. Patients with sickle cell disease are susceptible to infarction of the orbital bones during vaso-occlusive crises. Read More

View Article
May 2011

Orbital compression syndrome in sickle cell disease.

Ophthalmology 1997 Oct;104(10):1610-5

Department of Ophthalmology, University of Tennessee, Memphis, USA.

Background: Orbital complications are an uncommonly reported finding in sickle cell disease.

Methods: The authors review the reported orbital manifestations of sickle cell disease and discuss a patient with hemoglobin sickle beta(0) thalassemia in whom rapidly progressive bilateral orbital compression developed.

Results: Computed tomography of the orbits in a patient with fever, headache, orbital swelling, and optic nerve dysfunction displayed bilateral superior subperiosteal cystic masses. Read More

View Article
October 1997

Orbital compression syndrome in sickle cell crisis.

Klin Padiatr 2009 Sep 25;221(5):308-9. Epub 2009 Aug 25.

Klinikum Esslingen, Paediatric Hospital, Esslingen, Germany.

This article is about a 9-year-old boy with known homozygous sickle cell disease who developed unilateral exophthalmia and eyelid swelling during a sickle cell crisis. The symptoms were due to a vaso-occlusive event in the orbital bones,known as orbital compression syndrome, which is a rare complication of sickle cell disease. Read More

View Article
September 2009