Bilateral orbital hemorrhage in a newborn

Bilateral subperiosteal haemorrhage in a newborn

“…Two cases of spontaneous neonatal subperiosteal haemorrhage in the absence of trauma have been reported 9 10. The first case was unilateral proptosis managed by needle aspiration while the second one was bilateral which was managed conservatively.…”

Spontaneous orbital haemorrhage in purpura fulminans secondary to meningococcal septicaemia

“…There was no clinical evidence to suggest that there was the threat of optic nerve compression and the eye was managed conservatively with daily follow-up. 2,7 The IOP normalised 48 h later and the proptosis had almost completely disappeared by one week post admission. After 7 days of intravenous antibiotics and fresh frozen plasma, the platelet count and bleeding indices returned to normal.…”

“…20 Non sight threatening cases can be safely managed conservatively with good long term visual outcome. 2,7,16 Figure 1 Fundal appearances of both eyes showing the marked right premacular epiretinal membrane and flat astrocytic hamartomas in the right nasal and left temporal areas. Similar small hamartomas are present more peripherally in both eyes as well.…”

Part 1

“…24,46 Although more serious eye damage is rare, damage to the cornea and hemorrhage into the actual orbit of the eye has been described. 47,48 Corneal damage may occur if a forceps blade slips over the orbital wall and exerts pressure on the delicate cornea. Serious corneal injuries may permanently impair an infant's vision.…”

“…The clinical appearance of nasal deviation with possible ecchymosis is diagnostic; treatment involves manual manipulation of the nose into proper alignment (Fig 8), which is usually accomplished by an ear-nose-throat specialist. 48,50,51 …”