Orbital Emergency in a Child: Retrobulbar Hematoma Induced by Extensive Subgaleal Hemorrhage.

Abstract

Orbital and extracranial hematomas in children present diagnostic and therapeutic challenges due to atypical and rapidly evolving symptoms. Retrobulbar hematoma (RBH), though rare, is an ophthalmologic emergency with a high risk of vision loss. This report describes an unusual case of RBH associated with subgaleal hematoma in an 8-year-old boy following a fall. The patient showed proptosis, periorbital ecchymosis, and occipital swelling. CT confirmed the hematomas, and urgent surgical drainage preserved visual function. This case highlights the need for early diagnosis, imaging, and a multidisciplinary approach in pediatric craniofacial trauma.