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Neonatal orbital subperiosteal haematoma following shoulder dystocia
  1. Fatimah Zara Javaid,
  2. Adam Bates,
  3. Brendon Conry,
  4. Rohit Gowda
  1. Maidstone and Tunbridge Wells NHS Trust, Maidstone, Kent, UK
  1. Correspondence to Dr Fatimah Zara Javaid, Maidstone Hospital, Hermitage Ln, Maidstone, Kent ME16 9QQ, UK; fzjavaid{at}

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A 1-day-old newborn presented with prominence and lacrimation of the left eye after spontaneous vaginal delivery at 41+3 weeks gestation. The delivery was complicated by shoulder dystocia and he was later noted to have sustained a fracture of the clavicle secondary to the traumatic delivery. The paediatric team suspected left-sided glaucoma. The baby was referred for ophthalmological review and 3–4 mm left-sided proptosis and mild swelling of the left upper eyelid were noted (figure 1). Slit lamp …

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  • Contributors AB, consultant ophthalmologist and RG, consultant paediatrician identified and managed the case. BC, consultant radiologist identified and reported the images for this case. FZJ conducted the literature search and wrote the article with support of senior consultants above.

  • Competing interests None declared.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; internally peer reviewed.