LATERAL CANTHOTOMY AND CANTHOLYSIS: EMERGENCY MANAGEMENT OF ORBITAL COMPARTMENT SYNDROME

被引：30

作者：

Rowh, Adam D. ^{[1
]}

Ufberg, Jacob W. ^{[1
]}

Chan, Theodore C. ^{[2
]}

Vilke, Gary M. ^{[2
]}

Harrigan, Richard A. ^{[1
]}

机构：

[1] Temple Univ, Sch Med, Dept Emergency Med, Philadelphia, PA 19119 USA

[2] Univ Calif San Diego, Dept Emergency Med, San Diego, CA 92103 USA

来源：

JOURNAL OF EMERGENCY MEDICINE | 2015年 / 48卷 / 03期

关键词：

lateral canthotomy; canthotomy; cantholysis; orbital compartment syndrome; retrobulbar hemorrhage; ocular trauma; TISSUE PRESSURE; HEMORRHAGE;

D O I：

10.1016/j.jemermed.2014.11.002

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

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 readily performed at the bedside with simple instruments. The procedure may prevent irreversible blindness in cases of acute orbital compartment syndrome. Conclusions: Emergency physicians should be familiar with lateral canthotomy and cantholysis in the management of orbital compartment syndrome to minimize the chance of irreversible visual loss. (C) 2015 Elsevier Inc.

引用

页码：325 / 330

页数：6

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