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Type: Journal article
Title: Orbital compartment syndrome: the ophthalmic surgical emergency
Author: Lima, V.
Burt, B.
Leibovitch, I.
Prabhakaran, V.
Goldberg, R.
Selva-Nayagam, D.
Citation: Survey of Ophthalmology, 2009; 54(4):441-449
Publisher: Elsevier Science Inc
Issue Date: 2009
ISSN: 0039-6257
Statement of
Vanessa Lima, Benjamin Burt, Igal Leibovitch, Venkatesh Prabhakaran, Robert A. Goldberg and Dinesh Selva
Abstract: Orbital compartment syndrome is an uncommon, ophthalmic surgical emergency characterized by an acute rise in orbital pressure. When intraorbital tension rises, damage to ocular and other intraorbital structures, including irreversible blindness, may occur if not promptly treated. The diagnosis of orbital compartment syndrome is completely clinical and early recognition and emergent orbital decompression (even prior to imaging) is essential in preventing permanent vision loss. Lateral canthotomy and inferior cantholysis remain the mainstays of management. More extensive incision of the orbital septum and orbital bony decompression may be necessary in unresponsive cases. This review discusses the various etiologies and mechanisms resulting in orbital compartment syndrome, clinical features, imaging findings, treatment, and prognosis.
Keywords: cantholysis
globe tenting
orbital compartment syndrome
orbital compression syndrome
orbital decompression
orbital emergency
orbital tension
DOI: 10.1016/j.survophthal.2009.04.005
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Appears in Collections:Aurora harvest 5
Opthalmology & Visual Sciences publications

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