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  • Title: Lateral canthotomy and cantholysis: emergency management of orbital compartment syndrome.
    Author: Rowh AD, Ufberg JW, Chan TC, Vilke GM, Harrigan RA.
    Journal: J Emerg Med; 2015 Mar; 48(3):325-30. PubMed ID: 25524455.
    Abstract:
    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.
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