Traumatic retrobulbar hemorrhage: emergent decompression by lateral canthotomy and cantholysis.
نویسندگان
چکیده
Traumatic retrobulbar hemorrhage may result in acute loss of vision that is reversible when recognized and treated promptly. A case of traumatic retrobulbar hemorrhage is presented. The technique of emergent orbital decompression by lateral canthotomy and cantholysis is described. The anatomy of the lateral canthus and the surgical procedure are illustrated by gross dissection.
منابع مشابه
Lateral canthotomy and cantholysis: emergency management of orbital compartment syndrome.
BACKGROUND Orbital compartment syndrome is a sight-threatening emergency. Vision may be preserved when timely intervention is performed. OBJECTIVE To present a case of orbital compartment syndrome caused by traumatic retrobulbar hemorrhage and the procedure of lateral canthotomy and cantholysis, reviewed with photographic illustration. DISCUSSION Lateral canthotomy and cantholysis are readi...
متن کاملLateral canthotomy and cantholysis: a simple, vision-saving procedure.
Lateral canthotomy and cantholysis is a simple procedure that can be performed by emergency physicians. It has the potential to save vision, particularly in cases of blunt ocular trauma. The case of a 37-year-old man with blunt ocular trauma, a retrobulbar hemorrhage and rapidly increasing orbital pressure requiring an urgent lateral canthotomy and cantholysis is presented. Pathophysiology, ind...
متن کاملAcute retrobulbar haemorrhage: An ophthalmologic emergency for the emergency physician.
Acute retrobulbar haemorrhage (ARBH) is a rare ophthalmic emergency observed following blunt eye trauma. Multiple trauma and loss of consciousness can hide symptoms of ARBH. Rapid diagnosis and immediate lateral canthotomy and cantholysis must be performed to prevent permanent visual loss in patients. Medical treatment can be added to surgical therapy. Lateral canthotomy and cantholysis are sim...
متن کاملVisual recovery following emergent orbital decompression in traumatic retrobulbar haemorrhage.
INTRODUCTION Acute retrobulbar haemorrhage is a potentially sight-threatening condition, and can follow retrobulbar anaesthesia or trauma to the orbit. Acute loss of vision can occur with retrobulbar haemorrhage and is reversible if the condition is recognised and treated early. CLINICAL PICTURE We report a case of acute retrobulbar haemorrhage following orbital trauma in a 78-year-old Chines...
متن کاملEmergency lateral canthotomy and cantholysis: a simple procedure to preserve vision from sight threatening orbital hemorrhage.
Retrobulbar hemorrhage is an uncommon, but potentially devastating complication associated with facial trauma. It can rapidly fill the orbit and cause an "orbital compartment syndrome" that subsequently cuts off perfusion to vital ocular structures, leading to permanent visual loss. Treatment must be initiated within a limited time in order to prevent these effects; however, specialty consultat...
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ورودعنوان ژورنال:
- The Journal of emergency medicine
دوره 22 3 شماره
صفحات -
تاریخ انتشار 2002