ORBITAL COMPARTMENT SYNDROME AFTER PRIMARY SCLERAL BUCKLE SURGERY.

Q3 Medicine Retinal Cases and Brief Reports Pub Date : 2025-03-01 DOI:10.1097/ICB.0000000000001533

Frank Mei, Jahan N Tajran, Mohamed R Mohamed, Kishan G Patel, Angeline L Wang

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Abstract

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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初级巩膜扣带手术后的眶隔综合征。

目的：说明一名巩膜扣带置入术后出现眶隔综合征的患者，通过巩膜切开术和巩膜溶解术成功治疗了该患者：观察性病例报告：一名 26 岁的男性因慢性流变性视网膜脱离接受了巩膜扣带初次修复术。术后第 4 天，患者因疼痛和眼压升高来到急诊室。最初使用保守降眼压药物治疗未果。患者被诊断为迟发性眶隔综合征，除了积极使用类固醇和抗生素药物治疗外，还进行了外侧角膜切开术和下角膜溶解术，并取得了成功：结论：在巩膜扣带置入术中进行腱膜下麻醉阻滞后，可能会延迟出现眶隔综合征。识别和处理这种罕见的并发症对于预防不可逆转的失明非常重要。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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