Lateral Canthotomy and Cantholysis: Emergency Management of Orbital Compartment Syndrome

BackgroundOrbital compartment syndrome is a sight-threatening emergency. Vision may be preserved when timely intervention is performed.ObjectiveTo present a case of orbital compartment syndrome caused by traumatic retrobulbar hemorrhage and the procedure of lateral canthotomy and cantholysis, reviewed with photographic illustration.DiscussionLateral canthotomy and cantholysis are readily performed at the bedside with simple instruments. The procedure may prevent irreversible blindness in cases of acute orbital compartment syndrome.ConclusionsEmergency physicians should be familiar with lateral canthotomy and cantholysis in the management of orbital compartment syndrome to minimize the chance of irreversible visual loss

Emergency Department Treatment Provides Immediate and Durable Relief Following Vaccine Injury: A Case Report

Introduction: Intramuscular administration of vaccines into the deltoid muscle is the recommended route for most vaccines in adults. Ectopic injection into the subdeltoid/subacromial bursa can produce an inflammatory bursitis that is associated with significant long-term morbidity.Case Report: We describe a novel approach to treatment of this condition: ultrasound-guided administration of dexamethasone by the emergency physician within six hours of vaccine administration. This approach resulted in complete and durable long-term resolution of symptoms with no functional impairment.Conclusion: This outcome is superior to that described for usual care, and the approach is well-suited to emergency physicians

Lateral canthotomy and cantholysis: emergency management of orbital compartment syndrome.

BackgroundOrbital compartment syndrome is a sight-threatening emergency. Vision may be preserved when timely intervention is performed.ObjectiveTo present a case of orbital compartment syndrome caused by traumatic retrobulbar hemorrhage and the procedure of lateral canthotomy and cantholysis, reviewed with photographic illustration.DiscussionLateral canthotomy and cantholysis are readily performed at the bedside with simple instruments. The procedure may prevent irreversible blindness in cases of acute orbital compartment syndrome.ConclusionsEmergency physicians should be familiar with lateral canthotomy and cantholysis in the management of orbital compartment syndrome to minimize the chance of irreversible visual loss

Lateral canthotomy and cantholysis: emergency management of orbital compartment syndrome.

BackgroundOrbital compartment syndrome is a sight-threatening emergency. Vision may be preserved when timely intervention is performed.ObjectiveTo present a case of orbital compartment syndrome caused by traumatic retrobulbar hemorrhage and the procedure of lateral canthotomy and cantholysis, reviewed with photographic illustration.DiscussionLateral canthotomy and cantholysis are readily performed at the bedside with simple instruments. The procedure may prevent irreversible blindness in cases of acute orbital compartment syndrome.ConclusionsEmergency physicians should be familiar with lateral canthotomy and cantholysis in the management of orbital compartment syndrome to minimize the chance of irreversible visual loss