Chronic post-traumatic blepharocele in an adult: A rare case report and review of literature

We report a 26-year-old male patient who presented with right upper and lower eyelid edema of 3 months duration. He suffered head trauma following a fall 10 years ago. He reported multiple episodes of swelling of the right eyelids and face since the head trauma. There was no record of neuroimaging or a neurosurgeon’s consultation. Ophthalmological examination revealed painless swelling of the right upper eyelid, lower eyelid, and extending to the right cheek. The anterior and posterior segment examination was unremarkable. Computed tomography (CT) scan showed an area of bony discontinuity of the orbital roof with CSF leak into the periocular soft tissue (blepharocele). The patient was referred to the neurosurgeon for further management. This case highlights the importance of brain and orbital imaging in a case of head trauma. Blepharocele is a rare entity that can present even after 10 years of head trauma. It should be considered in the differential diagnosis of chronic unilateral eyelid edema in post-trauma cases.