Subperiosteal Hemorrhage

TA is an 11-year-old boy who presented with an ecchymotic and ptotic left upper lid. He had awakened 2 days previously with mild aching around the eye and gradually worsening ptosis since that time with a bluish discoloration. He gave a history of a “helmut bump” to the side of his head while playing football 2 days prior to this occurrence but denied any direct injury to his eye. Examination showed almost complete closure of the lid with 2+ tense ecchymosis and mild tenderness. A partial elevation of the eyelid was performed and the globe appeared grossly normal, but the view was inadequate.


Differential Diagnosis Axial Length Normal Appearance Ocular Tissue Complete Closure 
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© Springer Science+Business Media, LLC 2008

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