Article ID | Journal | Published Year | Pages | File Type |
---|---|---|---|---|
3060358 | Journal of Clinical Neuroscience | 2012 | 5 Pages |
Abstract
Orbital compartment syndrome (OCS) is a rare cause of blindness following intracranial surgery. We report a patient with OCS following intracranial cerebrovascular surgery precipitated by severe straining. OCS occurred due to a rapid increase in intraorbital pressure within the rigid confines of the orbit causing hypoperfusion of critical neural structures, which resulted in visual loss and a complete external ophthalmoplegia. Treatment involved urgent surgical soft tissue decompression of the orbit, corticosteroids and osmotic agents. It is important to consider OCS as a cause of blindness in the neurosurgical postoperative setting as without rapid treatment this condition has a very poor prognosis.
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Authors
Andrew J. Gauden, Thomas Hardy, Heather G. Mack, Helen V. Danesh-Meyer, Andrew H. Kaye,