12 min
Orbital Compartment Syndrome (Deep Dive MW R21) EM Clerkship
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- Medicine
Orbital Compartment Syndrome – needs to be diagnosed CLINICALLY
On exam, LOOK for: Proptosis, Ophthalmoplegia, Afferent Pupillary Defect, Vision Loss
On exam, FEEL for: Rock hard globe, tense eyelids, resistance to retropulsion
IOP > 40 means immediate canthotomy is indicated!
Don’t perform if open globe is present
Lateral Canthotomy Procedure: Anesthetize, Devascularize, Canthotomy, Cantholysis (inferior crus first)
Paperclip Eyelid Retractors
Orbital Compartment Syndrome – needs to be diagnosed CLINICALLY
On exam, LOOK for: Proptosis, Ophthalmoplegia, Afferent Pupillary Defect, Vision Loss
On exam, FEEL for: Rock hard globe, tense eyelids, resistance to retropulsion
IOP > 40 means immediate canthotomy is indicated!
Don’t perform if open globe is present
Lateral Canthotomy Procedure: Anesthetize, Devascularize, Canthotomy, Cantholysis (inferior crus first)
Paperclip Eyelid Retractors
12 min