A Case of Subperiosteal Orbital Hematoma Associated with von Willebrand Disease.

Huh, Kang Cheol; Kim, Yoon Duck

Case Report

Journal of the Korean Ophthalmological Society 2002;43(1):213-218.
Published online January 1, 2002.

A Case of Subperiosteal Orbital Hematoma Associated with von Willebrand Disease.

Department of Ophthalmology, Samsung Medical Center, College of Medicine, Sungkyunkwan University, Seoul, Korea. ydkim@smc.samsung.co.kr

Von Willebrand Disease 환자에서 발생한 안와 골막하 혈종 1례

허강철 ( Kang Cheol Huh ) , 김윤덕 ( Yoon Duck Kim )

Abstract

PURPOSE
Subperiosteal orbital hematoma is rare, and most cases occur in children or young adults after direct facial or orbital trauma. Nontraumatic subperiosteal hemorrhage has been reported in association with systemic disease associated with leukemia, scurvy, sudden elevation of cranial venous pressure or venous congestion, and paranasal sinusitis. To our best knowledge, this is the first case of subperiosteal orbital hematoma associated with von Willebrand disease in Korea. METHODS: A 30-year-old woman experienced a sudden onset of proptosis, diplopia and decreased visual acuity. Clinical features, orbital CT and MRI established the diagnosis of subperiosteal hematoma of the orbit. The patient was treated with superior orbitotomy with hematoma evacuation. RESULTS: After the surgery, the patient's visual acuity completely recovered and proptosis disappeared. During follow-up periods, she was diagnosed to have von Willebrand disease.

Key Words: Proptosis;Subperiosteal orbital hematoma;Von Willebrand disease