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.

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http://dx.doi.org/10.1097/SCS.0000000000003972DOI Listing

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November 2017
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