Deep Dive MW R21

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