AI Article Synopsis
- * Despite initial treatment for high intraocular pressure, the patient's condition worsened, leading to a diagnosis of delayed orbital compartment syndrome.
- * Successful management included surgical intervention (canthotomy and cantholysis) along with steroid and antibiotic treatment, highlighting the importance of recognizing this rare but serious complication post-surgery.
Article Abstract
Purpose: To illustrate a patient with orbital compartment syndrome following scleral buckle placement that was successfully treated with canthotomy and cantholysis.
Methods: Observational case report.
Results: A 26-year-old male underwent a primary scleral buckle repair for a chronic rhegmatogenous retinal detachment. On post-operative day four, the patient presented to the emergency room with pain and increased intraocular pressure (IOP). Initial treatment with conservative IOP lowering agents was unsuccessful. The patient was diagnosed with delayed orbital compartment syndrome and was successfully managed with lateral canthotomy and inferior cantholysis in addition to aggressive steroid and antibiotic medical management.
Conclusion: Following scleral buckle placement with sub-tenon's anesthesia block, there may be a delayed presentation of orbital compartment syndrome. Recognition and management of this rare complication is important for preventing irreversible blindness.
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| http://dx.doi.org/10.1097/ICB.0000000000001533 | DOI Listing |
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