Success rates of lateral canthotomy and cantholysis for treatment of orbital compartment syndrome

Scoville, N. Maxwell; Ding, Leona; Stacey, Andrew W.

doi:10.1016/j.ajem.2023.05.037

Cited by 2 publications

(2 citation statements)

References 19 publications

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“…Scoville et al 19 performed a retrospective analysis on real-world outcomes of LCIC by emergency room physicians and ophthalmologists. In this study, they found that emergency physicians are performing the initial procedure more often in comparison to ophthalmologists at 68% and 32%, respectively.…”

Section: Discussionmentioning

confidence: 99%

“…Despite the majority of emergency department physicians being uncomfortable, they are still fairly successful at LCIC and should attempt it in any suspect cases as no treatment will ultimately lead to permanent, irreversible vision loss. Additionally, in the patients where LCIC failed, an eyelid incision was then conducted, which resulted in a 100% success rate 19 ; therefore, suggesting that MFTB will also have success in real-world scenarios.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Marginal Full Thickness Blepharotomy for Management of Orbital Compartment Syndrome

Dryden,

Gabbard,

Salloum

et al. 2024

Ophthalmic Plastic &Amp; Reconstructive Surgery

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Purpose: To assess the utility of a marginal full thickness blepharotomy (MFTB) for the treatment of orbital compartment syndrome. Methods: An experimental study design employing a cadaver model for orbital compartment syndrome was used to assess the efficacy of an MFTB. Elevated orbital compartment pressures were created in 12 orbits of 6 fresh cadaver heads. Intraocular pressure, as an analog of orbital pressure, was measured before and after inferior and superior MFTBs were performed. Statistical analysis was performed on the collected data to assess the efficacy of the procedure. Results: Both procedures were found to significantly lower the orbital compartment pressure. MFTB of the inferior lateral eyelid decreased orbital compartment pressure by an average of 62.2 mm Hg (95% CI, 56.9–67.5). MFTB of the superior lateral eyelid following MFTB of the inferior lateral eyelid decreased the orbital compartment pressure by an additional average of 10.3 mm Hg (total average reduction of 72.5 mm Hg; 95% CI, 68.1–76.9). Conclusions: Orbital compartment syndrome is a time-sensitive vision-threatening emergency that requires prompt diagnosis and intervention to prevent irreversible vision loss. The authors describe the MTFB, a simple one-step procedure that when performed correctly results in a significant decrease in orbital compartment pressure, making it a viable option when canthotomy and cantholysis fails or is unable to be performed.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%