Boxing Match Gone Awry- A Punch over the Head Leading to Eccentric Proptosis in a Child
ND05-ND06
Correspondence
Premnath Gnaneswaran,
Chettinad Academy of Research and Education, Chennai, Tamil Nadu, India.
E-mail: drpremn18@yahoo.co.in
The most common ocular pathologic conditions in amateur boxing are sub conjunctival haemorrhage, lid injuries, cataract, pupil deformation, angle abnormalities and retinal tear. Proptosis due to frontoethmoidal mucocele in young is one of the least common complications seen in boxers. Here, we discuss a rare case of unilateral eccentric proptosis of right eye in a nine-year-old child after he was punched on the right side of the head during a boxing match. He came with complaint of swelling of upper eyelid. Examination revealed right sided eccentric proptosis with restricted ocular movements and defective vision. Computed Tomography (CT) of orbit showed a well-defined isodense lesion with smooth margins arising from the frontal sinus, extending inferiorly to anterior ethmoidal sinus which caused mass effect over right eye and ocular muscles which resulted in displacement of the eye ball. Otolaryngologist’s opinion was obtained. Functional Endoscopic Sinus Surgery (FESS) was done. Postoperatively vision improved with no proptosis and eyeball returned to its normal position.