Orbital compartment syndrome - Revision history

Danbot: Add MedicationDose entries for mannitol, methylprednisolone, acetazolamide

2026-03-20T21:14:15Z

Add MedicationDose entries for mannitol, methylprednisolone, acetazolamide

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 ==Disposition==
 * Admit
 ==See Also==

Rossdonaldson1: /* Background */

2024-10-23T22:29:42Z

Background

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	==Background==		==Background==
			[[File:Schematic diagram of the human eye en.png\|thumb\|Eye anatomy.]]
	* Rare, vision-threatening ophthalmic emergency characterized by an acute elevation of intra-orbital pressure which exceeds the vascular perfusion pressure of the ophthalmic artery.<ref>Murchison, A., 2021. Orbital Compartment Syndrome - EyeWiki. [online] Eyewiki.org. Available at: <https://eyewiki.org/Orbital_Compartment_Syndrome> [Accessed 29 June 2021].</ref>		* Rare, vision-threatening ophthalmic emergency characterized by an acute elevation of intra-orbital pressure which exceeds the vascular perfusion pressure of the ophthalmic artery.<ref>Murchison, A., 2021. Orbital Compartment Syndrome - EyeWiki. [online] Eyewiki.org. Available at: <https://eyewiki.org/Orbital_Compartment_Syndrome> [Accessed 29 June 2021].</ref>
	*Most commonly caused by acute orbital or facial trauma		*Most commonly caused by acute orbital or facial trauma

Ostermayer: /* Management */

2024-10-17T19:26:17Z

Management

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	==Management==		==Management==
	*Definitive therapy is [[lateral canthotomy]] ~~and~~ inferior cantholysis~~(LCIC)~~		*Definitive therapy is [[lateral canthotomy]] with inferior cantholysis or [[vertical lid split procedure]]<ref>Emam HA, Stevens MR, Larsen PE, et al. Lateral tarsotomy: a practical alternative to lateral canthotomy to increase or- bital access. Oral Surg Oral Med Oral Pathol Oral Radiol 2016;122:e1–4</ref>
	*Emergent ophthalmology consultation		*Emergent ophthalmology consultation
	*Consider adjunctive medical therapy:		*Consider adjunctive medical therapy:

Ostermayer: /* Differential DiagnosisShannon, B., 2019. Acute Orbital Compartment Syndrome Differential Diagnoses. [online] Emedicine.medscape.com. Available at: [Accessed 29 June 2021]. */

2024-10-14T19:48:07Z

Differential DiagnosisShannon, B., 2019. Acute Orbital Compartment Syndrome Differential Diagnoses. [online] Emedicine.medscape.com. Available at: [Accessed 29 June 2021].

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	*[[Proptosis]]		*[[Proptosis]]

	==Differential Diagnosis<ref>Shannon, B., 2019. Acute Orbital Compartment Syndrome Differential Diagnoses. [online] Emedicine.medscape.com. Available at: <https://emedicine.medscape.com/article/799528-differential> [Accessed 29 June 2021].</ref>==		==Differential Diagnosis==
	* [[Retinal detachment]]		* [[Retinal detachment]]<ref>Shannon, B., 2019. Acute Orbital Compartment Syndrome Differential Diagnoses. [online] Emedicine.medscape.com. Available at: <https://emedicine.medscape.com/article/799528-differential> [Accessed 29 June 2021].</ref>
	* [[Globe rupture]]		* [[Globe rupture]]
	* [[Endophthalmitis]]		* [[Endophthalmitis]]

Ostermayer: /* BackgroundMurchison, A., 2021. Orbital Compartment Syndrome - EyeWiki. [online] Eyewiki.org. Available at: [Accessed 29 June 2021]. */

2024-10-14T19:47:37Z

BackgroundMurchison, A., 2021. Orbital Compartment Syndrome - EyeWiki. [online] Eyewiki.org. Available at: [Accessed 29 June 2021].

← Older revision		Revision as of 19:47, 14 October 2024
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	==Background<ref>Murchison, A., 2021. Orbital Compartment Syndrome - EyeWiki. [online] Eyewiki.org. Available at: <https://eyewiki.org/Orbital_Compartment_Syndrome> [Accessed 29 June 2021].</ref>==		==Background==
	* Rare, vision-threatening ophthalmic emergency characterized by an acute elevation of intra-orbital pressure which exceeds the vascular perfusion pressure of the ophthalmic artery.		* Rare, vision-threatening ophthalmic emergency characterized by an acute elevation of intra-orbital pressure which exceeds the vascular perfusion pressure of the ophthalmic artery.<ref>Murchison, A., 2021. Orbital Compartment Syndrome - EyeWiki. [online] Eyewiki.org. Available at: <https://eyewiki.org/Orbital_Compartment_Syndrome> [Accessed 29 June 2021].</ref>
	*Most commonly caused by acute orbital or facial trauma		*Most commonly caused by acute orbital or facial trauma
	*Less common causes include local injections, orbital infection, orbital emphysema, foreign bodies, and spontaneous hemorrhage		*Less common causes include local injections, orbital infection, orbital emphysema, foreign bodies, and spontaneous hemorrhage

Rossdonaldson1: /* Evaluation */

2021-11-27T06:06:10Z

Evaluation

← Older revision		Revision as of 06:06, 27 November 2021
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	==Evaluation==		==Evaluation==
			[[File:PMC2908661 wjem-11-208f2.png\|thumb\|Computed tomography demonstrating left retrobulbar hemorrhage with proptosis.]]
	===Workup===		===Workup===
	''Do NOT delay treatment for diagnostic studies if there is already a high clinical suspicion for OCS''		''Do NOT delay treatment for diagnostic studies if there is already a high clinical suspicion for OCS''

Rossdonaldson1: /* Clinical Features */

2021-11-27T06:05:48Z

Clinical Features

← Older revision		Revision as of 06:05, 27 November 2021
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	==Clinical Features==		==Clinical Features==
			[[File:PMC3700149 NJMS-3-152-g008.png\|thumb\|[[Retrobulbar hemorrhage]]]]
	* [[Visual loss\|Decreased visual acuity]]		* [[Visual loss\|Decreased visual acuity]]
	*Afferent pupillary defect		*Afferent pupillary defect

Rossdonaldson1 at 06:04, 27 November 2021

2021-11-27T06:04:03Z

← Older revision		Revision as of 06:04, 27 November 2021
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	==References==		==References==
	<references/>		<references/>

			[[Category:Ophthalmology]]
			[[Category:Trauma]]

Rossdonaldson1: Rossdonaldson1 moved page Ocular compartment syndrome to Orbital compartment syndrome

2021-11-27T06:03:14Z

Rossdonaldson1 moved page Ocular compartment syndrome to Orbital compartment syndrome

← Older revision	Revision as of 06:03, 27 November 2021
(No difference)

Rossdonaldson1: /* Workup */

2021-07-24T12:58:25Z

Workup

← Older revision		Revision as of 12:58, 24 July 2021
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	* '''Labs'''		* '''Labs'''
	**CBC/BMP (if history of trauma or cellulitis)		**CBC/BMP (if history of trauma or cellulitis)
	**Coag panel (coagulopathy ~~suggests~~ [[retrobulbar hemorrhage]])		**Coag panel (coagulopathy increases risk for [[retrobulbar hemorrhage]])
	*'''Imaging'''		*'''Imaging'''
	**CT (Orbit)		**CT (Orbit)