Case reports of orbital hematoma: Surgical intervention or observation

We are reporting two cases of orbital hematoma, one who underwent surgical intervention and another case was observed. A 14-year-old boy presented to us with proptosis and features of optic nerve compression following trauma. Imaging revealed globe tenting, and the patient underwent hematoma aspiration with canthotomy. After 6 weeks, proptosis resolved with 6/6 vision and full extraocular rectus muscles (EOM). An 11-year-old girl presented to us with proptosis and diplopia following a trivial fall. Computed tomography orbit revealed a large variable dense lesion located at the intraconal and medial aspect of extraconal space. Since there were no features of optic nerve compression, the child was treated with oral steroids and was observed. After 2 weeks, proptosis resolved with full EOM.