Frank Mei, Jahan N Tajran, Mohamed R Mohamed, Kishan G Patel, Angeline L Wang
{"title":"初级巩膜扣带手术后的眶隔综合征。","authors":"Frank Mei, Jahan N Tajran, Mohamed R Mohamed, Kishan G Patel, Angeline L Wang","doi":"10.1097/ICB.0000000000001533","DOIUrl":null,"url":null,"abstract":"<p><strong>Purpose: </strong>The aim of this study was to illustrate a patient with orbital compartment syndrome after scleral buckle placement that was successfully treated with canthotomy and cantholysis.</p><p><strong>Methods: </strong>This is an observational case report.</p><p><strong>Results: </strong>A 26-year-old man underwent a primary scleral buckle repair for a chronic rhegmatogenous retinal detachment. On postoperative day four, the patient presented to the emergency room with pain and increased intraocular pressure. Initial treatment with conservative intraocular pressure-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.</p><p><strong>Conclusion: </strong>After scleral buckle placement with sub-Tenon 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.</p>","PeriodicalId":53580,"journal":{"name":"Retinal Cases and Brief Reports","volume":" ","pages":"240-243"},"PeriodicalIF":0.0000,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"ORBITAL COMPARTMENT SYNDROME AFTER PRIMARY SCLERAL BUCKLE SURGERY.\",\"authors\":\"Frank Mei, Jahan N Tajran, Mohamed R Mohamed, Kishan G Patel, Angeline L Wang\",\"doi\":\"10.1097/ICB.0000000000001533\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Purpose: </strong>The aim of this study was to illustrate a patient with orbital compartment syndrome after scleral buckle placement that was successfully treated with canthotomy and cantholysis.</p><p><strong>Methods: </strong>This is an observational case report.</p><p><strong>Results: </strong>A 26-year-old man underwent a primary scleral buckle repair for a chronic rhegmatogenous retinal detachment. On postoperative day four, the patient presented to the emergency room with pain and increased intraocular pressure. Initial treatment with conservative intraocular pressure-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.</p><p><strong>Conclusion: </strong>After scleral buckle placement with sub-Tenon 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.</p>\",\"PeriodicalId\":53580,\"journal\":{\"name\":\"Retinal Cases and Brief Reports\",\"volume\":\" \",\"pages\":\"240-243\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2025-03-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Retinal Cases and Brief Reports\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1097/ICB.0000000000001533\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"Medicine\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Retinal Cases and Brief Reports","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1097/ICB.0000000000001533","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"Medicine","Score":null,"Total":0}
ORBITAL COMPARTMENT SYNDROME AFTER PRIMARY SCLERAL BUCKLE SURGERY.
Purpose: The aim of this study was to illustrate a patient with orbital compartment syndrome after scleral buckle placement that was successfully treated with canthotomy and cantholysis.
Methods: This is an observational case report.
Results: A 26-year-old man underwent a primary scleral buckle repair for a chronic rhegmatogenous retinal detachment. On postoperative day four, the patient presented to the emergency room with pain and increased intraocular pressure. Initial treatment with conservative intraocular pressure-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: After scleral buckle placement with sub-Tenon 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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