Traumatic Orbital Hematoma in which Blindness Recovered after Surgical Treatment: A Case Report

概要

論文の詳細を見る
Blindness is rarely reversed. We report a 78-year-old female with acute traumatic blindness, which was cured by surgical treatment. She suffered a blunt injury to her right eye caused by a wooden foreign body penetrating through the upper lid. Computed tomography showed an orbital hematoma compressing the optic nerve. The hematoma was surgically removed 6 hours after the accident. Postoperatively, the patient was treated with intravenous corticosteroids in a tapering regimen for 4 days and intravenous antibiotics for 4 days. The visual acuity of her right eye improved progressively from the first postoperative day. One and a half months later, the right visual acuity improved to 0.15, the same as that of the left.Orbital hematoma is a rare complication resulting from blunt periorbital trauma, usually treated by conservative therapy only. If, however, the proptosis becomes dangerous or severe visual loss presents, surgical treatment should be selected.