Please use this identifier to cite or link to this item: http://hdl.handle.net/2440/54992
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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
1879-3304
Statement of
Responsibility: 
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; canthotomy; globe tenting; orbital compartment syndrome; orbital compression syndrome; orbital decompression; orbital emergency; orbital tension
RMID: 0020091055
DOI: 10.1016/j.survophthal.2009.04.005
Appears in Collections:Opthalmology & Visual Sciences publications

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