Orbital compartment syndrome: Difference between revisions
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===Diagnosis=== | ===Diagnosis=== | ||
* Diagnosis made clinically with afferent pupillary defect, vision loss, and intraocular pressure >40mmHg | |||
==Management== | ==Management== | ||
Revision as of 17:26, 29 June 2021
Background[1]
- Rare, vision-threatening ophthalmic emergency characterized by an acute elevation of intra-orbital pressure which exceeds the vascular perfusion pressure of the ophthalmic artery.
- Most commonly caused by acute orbital or facial trauma
- Less common causes include local injections, orbital infection, orbital emphysema, foreign bodies, and spontaneous hemorrhage
Clinical Features
- Decreased visual acuity
- Afferent pupillary defect
- Difficulty opening eyelids
- Limited motility
- Proptosis
Differential Diagnosis[2]
- Retinal detachment
- Globe rupture
- Endophthalmitis
- Optic nerve decompression
- Anterior ischemic optic neuropathy (AION)
Evaluation
Workup
Diagnosis
- Diagnosis made clinically with afferent pupillary defect, vision loss, and intraocular pressure >40mmHg
Management
Disposition
See Also
External Links
References
- ↑ Murchison, A., 2021. Orbital Compartment Syndrome - EyeWiki. [online] Eyewiki.org. Available at: <https://eyewiki.org/Orbital_Compartment_Syndrome> [Accessed 29 June 2021].
- ↑ 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].