Post-traumatic Isolated Superior Rectus Hematoma Treated With Oral Steroids

TL;DR

A 14-year-old boy with a rare eye muscle hematoma after an accident was successfully treated with oral steroids, avoiding surgery.

Contribution

This case demonstrates the successful use of oral steroids alone for treating an isolated superior rectus hematoma.

Findings

Oral corticosteroids effectively resolved an isolated superior rectus hematoma in a 14-year-old boy.

Conservative treatment with steroids avoided the need for surgery in this rare orbital trauma case.

Prompt diagnosis and non-invasive treatment can be effective for isolated extraocular muscle hematomas.

Abstract

We present a rare case of an isolated right superior rectus hematoma in a 14-year-old boy following a road traffic accident (RTA), which was effectively treated with oral corticosteroids alone. This case emphasizes the importance of prompt diagnosis and conservative treatment in isolated extraocular muscle hematomas. It also highlights the role of clinical awareness and imaging in guiding treatment while avoiding unnecessary surgery. Additionally, the case raises awareness about the rare presentations of orbital trauma and the effectiveness of non-invasive treatments.

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