Hypotony Without Globe Rupture During Orbital Fracture Repair.
case_report · Level V
Where this comes from
- Record sourced from PubMed, PMID 33881178.
- Also identified by DOI 10.1002/lary.29583.
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Abstract
A 29-year-old male presented to the emergency department with an orbital fracture. He denied ocular symptoms and CT showed bilateral fracture of nasal bones, left medial orbital wall, and left orbital floor, with herniation of orbital fat and minimal retrobulbar hematoma. Pre-operative ophthalmic exam was unremarkable. Intra-operatively, intraocular pressure of the left eye was 5 mm Hg, a significant change from 17 mm Hg preoperatively. Globe exploration revealed no injury. Post-operatively, IOP normalized. With these findings it was felt that ocular manipulation related to the orbital fracture repair placed significant and intermittent pressure on the globe, thereby lowering IOP. Laryngoscope, 131:2238-2240, 2021.
Medical subject headings
- Intraocular Pressure
- Intraoperative Complications
- Ocular Hypotension
- Orbital Fractures