Managment of the orbital compartment syndrom
Author: Patricia Reisz-Majić
Base Hospital / Institution: Eye Clinic, Faculty of Medicine, Josip Juraj Strossmayer University of Osijek, Croatia, University Hospital Centre Osijek, Croatia
ePoster presentation
Abstract ID: 24-455
Purpose
The orbital compartment syndrome (OCS) constitutes a severe emergency, requiring immediate
clinical diagnosis and surgical decompression. The key symptom is progressive visual impairment
caused by an increase in intraorbital pressure, impairing the perfusion of relevant neurovascular and neurosensory structures. Intraorbital bleeding due to trauma and surgical intervention is known to be the main etiological factor.
Methods
This is case report of management (OCS) within 2 hours, that includes immediate lateral canthotomy and cantholysis, followed by surgical decompression after medical treatment to ‘buy time’.
Results
Complete recovery of visual acuity at the moment of hematoma/ bleeding evacuation suggests the early necessity of surgical therapy—orbital decompression. Due to significantly better prognosis, early surgical intervention is required.
Conclusion
The question remains as to who should perform the procedure and when it should be done, as well as the issue of delaying for patient evaluation.
Additional Authors
| First name | Last name | Base Hospital / Institution |
|---|---|---|
| Nina | Jovanović | Eye Clinic, Faculty of Medicine, Josip Juraj Strossmayer University of Osijek, Croatia, University Hospital Centre Osijek, Croatia |
| Dubravka | Biuk | Eye Clinic, Faculty of Medicine, Josip Juraj Strossmayer University of Osijek, Croatia, University Hospital Centre Osijek, Croatia |
| Nikolina | Budimlija | Institute of Eye Surgery,UPMC Whitfield, Suite 14, Ireland |
| Josip | Barać | Eye Clinic, Faculty of Medicine, Josip Juraj Strossmayer University of Osijek, Croatia, University Hospital Centre Osijek, Croatia |
