Manual

Orbital compartment syndrome

Emergencies

Orbital compartment syndrome

Retrobulbar hemorrhage after trauma or surgery.

  • Proptosis, tense orbit ('rock hard'), decreased vision, RAPD, elevated IOP, restricted motility.
  • Optic nerve ischemia within 60–100 minutes.
Clinical diagnosis — do NOT wait for imaging. Perform lateral canthotomy and inferior cantholysis immediately.
NextRetinal detachment

Educational summary — follow local protocols and current guidelines.