Case of Orbital Compartment Syndrome Post Cardiac Arrest

Orbital compartment syndrome (OCS) is a rare ophthalmic surgical emergency in the setting of increased intraocular pressure (IOP) Irreversible vision loss can occur without immediate surgical treatment consisting of lateral cantholysis. We present a case of acute OCS discovered after cardiopulmonary...

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Published in:Curēus (Palo Alto, CA) CA), 2021-07, Vol.13 (7), p.e16514
Main Authors: Kushwaha, Roli, Agil, Johnathan, Furiato, Anthony, Webb McAdams, Amanda L
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Language:English
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Anatomy
Emergency Medicine
Ophthalmology
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description Orbital compartment syndrome (OCS) is a rare ophthalmic surgical emergency in the setting of increased intraocular pressure (IOP) Irreversible vision loss can occur without immediate surgical treatment consisting of lateral cantholysis. We present a case of acute OCS discovered after cardiopulmonary resuscitation (CPR) with subsequent immediate lateral canthotomy and notable decrease in IOP. This in part demonstrates the importance of recognizing the clinical signs of OCS with or without trauma in the emergency department in addition with preparedness to perform a vision-saving procedure. Diagnosis is clinical and early recognition is essential. Index of suspicion for OCS in cardiac arrest without signs or history of trauma would typically be low, however, given the case presented, it was important for it to be excluded once the return of spontaneous circulation (ROSC) was achieved.
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subjects Anatomy
Emergency Medicine
Ophthalmology
title Case of Orbital Compartment Syndrome Post Cardiac Arrest
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