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Case Report

Orbital Compartment Syndrome Leading to Visual Loss Following Orbital Floor Reconstruction

by
Srinivas M. Susarla
1,
Arthur J. Nam
2 and
Amir H. Dorafshar
1,*
1
Department of Plastic Surgery, Johns Hopkins Hospital, Baltimore, MD, USA
2
Department of Plastic Surgery, Shock Trauma Center, University of Maryland Medical System, Baltimore, MD, USA
*
Author to whom correspondence should be addressed.
Craniomaxillofac. Trauma Reconstr. 2016, 9(2), 152-157; https://doi.org/10.1055/s-0035-1558456
Submission received: 29 September 2014 / Revised: 1 March 2015 / Accepted: 1 March 2015 / Published: 24 July 2015

Abstract

Reconstruction of posttraumatic orbital defects carries the attendant risk of injury to the ocular adnexa, globe, and associated neurovascular structures. Blindness following repair of orbital fractures is an infrequent but well-documented phenomenon. Visual acuity loss can be related to direct intraoperative injury to the optic nerve, retinal arterial occlusion, or delayed presentation of acute optic nerve injury. In this report, we document a unique case of acute optic nerve infarction occurring 14 h following orbital floor exploration and repair in a 56-year-old man.
Keywords: orbital floor fracture; optic neuropathy; maxillofacial trauma; orbital exploration; orbital compartment syndrome orbital floor fracture; optic neuropathy; maxillofacial trauma; orbital exploration; orbital compartment syndrome

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MDPI and ACS Style

Susarla, S.M.; Nam, A.J.; Dorafshar, A.H. Orbital Compartment Syndrome Leading to Visual Loss Following Orbital Floor Reconstruction. Craniomaxillofac. Trauma Reconstr. 2016, 9, 152-157. https://doi.org/10.1055/s-0035-1558456

AMA Style

Susarla SM, Nam AJ, Dorafshar AH. Orbital Compartment Syndrome Leading to Visual Loss Following Orbital Floor Reconstruction. Craniomaxillofacial Trauma & Reconstruction. 2016; 9(2):152-157. https://doi.org/10.1055/s-0035-1558456

Chicago/Turabian Style

Susarla, Srinivas M., Arthur J. Nam, and Amir H. Dorafshar. 2016. "Orbital Compartment Syndrome Leading to Visual Loss Following Orbital Floor Reconstruction" Craniomaxillofacial Trauma & Reconstruction 9, no. 2: 152-157. https://doi.org/10.1055/s-0035-1558456

APA Style

Susarla, S. M., Nam, A. J., & Dorafshar, A. H. (2016). Orbital Compartment Syndrome Leading to Visual Loss Following Orbital Floor Reconstruction. Craniomaxillofacial Trauma & Reconstruction, 9(2), 152-157. https://doi.org/10.1055/s-0035-1558456

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