An urgent surgical procedure was performed.
Burr holes were placed around the region of the hematoma and it was evacuated. The small branch of the middle meningeal artery was ligated and the patient spent a few days in the intensive care unit. Fortunately the patient made an uneventful recovery.
A 35-year-old man was involved in a fight and sustained a punch to the right orbit. He came to the emergency department with double vision.
The double vision was only in one plane.