AOR
Archives of Ophthalmological Research

The Archives of Ophthalmological Research aims to publish issues related to publish articles of the highest scientific and clinical value at an international level, and accepts articles on these topics. The target audience of the journal included specialists and physicians working in ophthalmology, and other health professionals interested in these fields.

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Case Report
Isolated medial rectus hematoma following blunt trauma-a novel case report
Abstract
This report presents a rare case of isolated medial rectus hematoma following blunt trauma in a 16-year-old male. Typically, traumatic eye injuries lead to orbital fractures or hemorrhages, but isolated rectus muscle injury and hematoma are exceptionally uncommon. Our patient exhibited unilateral total outward gaze limitation, esotropia, and horizontal diplopia without any associated cranial or orbital fractures. Orbital CT and MRI played pivotal roles in diagnosing the isolated hematoma, which was managed conservatively with oral corticosteroids, leading to complete resolution of symptoms and radiologic findings within a month. This case underscores the importance of thorough clinical examination and careful evaluation of imaging in the differential diagnosis of posttraumatic diplopia, highlighting the diagnostic challenges and the clinical utility of orbital imaging in such rare presentations.

Keywords : Blunt eye trauma, pediatric ocular trauma, post-traumatic diplopia, post-traumatic rectus hematoma

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1. Friehmann A, Peled A, Ela-Dalman N, Nemet AY. Isolated superiorrectus muscle hematoma following blunt orbital trauma. J CraniofacSurg. 2019;30(2):e125-e127. doi: 10.1097/SCS.0000000000005007
2. Krishnan P, Sridhar K, Mondal M. Post-traumatic isolated superiorrectus hematoma. Neurol India. 2009;57(3):351-352. doi: 10.4103/0028-3886.53268
3. Tomasetti P, Metzler P, Jacobsen C. Isolated inferior rectus musclerupture after blunt orbital trauma. J Surg Case Rep. 2013;2013(9):rjt076.doi: 10.1093/jscr/rjt076
4. Eshraghi B, Razi-Khosroshahi M, Hasani H, Silbert DI. Pediatricposttraumatic orbital subperiosteal hematoma. Eur J Ophthalmol.2021;31(3):1085-1093. doi: 10.1177/1120672120919598
5. Sii F, Barry RJ, Abbott J, Blanch RJ, MacEwen CJ, Shah P. The UKpaediatric ocular trauma study 2 (POTS2): demographics andmechanisms of injuries. Clin Ophthalmol. 2018;12:105-111. doi: 10.2147/OPTH.S155611
6. Geressu A, Patil J, Cody J. Acute abducens nerve palsy in a patientwho sustained mechanical trauma to the orbit. Br Ir Orthopt J.2021;17(1):150-154. doi: 10.22599/bioj.250
7. Kumar S, Artymowicz A, Muscente J, Shinder R, Mostafavi D. Donot fall for this; diagnostic challenges in orbital floor fractures withextraocular muscle entrapment. Cureus. 2023;15(2):e35268. doi:10.7759/cureus.35268
8. Priya S, Guha S, Mittal S, Sharma S, Alam MS. Pediatric ocular motorcranial nerve palsy: demographics and etiological profile. Indian JOphthalmol. 2021;69(5):1142-1148. doi: 10.4103/ijo.IJO_1803_20
9. Park KA, Oh SY. Extraocular muscle injury during endoscopic sinussurgery: an ophthalmologic perspective. Eye. 2016;30(5):680-687. doi:10.1038/eye.2016.15
10. Singh M, Gautam Seth N, Zadeng Z, Kaur M, Gupta P. Clinico-radiological features and treatment outcomes in children withtraumatic orbital subperiosteal hematoma. J AAPOS. 2018;22(6):416-420. doi: 10.1016/j.jaapos.2018.08.004
11. Chen YA, Singhal D, Chen YR, Chen CT. Management of acutetraumatic retrobulbar haematomas: a 10-year retrospective review.J Plast Reconstr Aesthet Surg. 2012;65(10):1325-1330. doi: 10.1016/j.bjps.2012.04.037
12. Chen SI, Chandna A, Abernethy LJ. Magnetic susceptibility artifact inorbital magnetic resonance imaging. Strabismus. 2005;13(1):1-3. doi:10.1080/09273970490887485
Article available in :
Volume 1, Issue 2, 2024
Page : 31-34
https://doi.org/10.51271/AOR-0010
Article Information
Received : 16 Nis 2024
Accepted : 28 Nis 2024
Published : 30 Nis 2024
Corresponding Author :

Umay Güvenç: Department of Opthalmology, Ankara Training and Research Hospital, Ankara, Turkiye

[email protected]
Citation : Güvenç U, Yılmaz Çınar FG, Şingar E, Topalak Y, Gökharman FD. Isolated medial rectus hematoma following blunt trauma-a novel case report. Arch Ophthalmol Res. 2024;1(2):31-34.

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