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Inferolateral Anterior Orbitotomy for Emergent Management

Cat N. Burkat, MD; Bradley N. Lemke, MD

Arch Ophthalmol. 2005;123:1260-1262.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

INTRODUCTION

Retrobulbar hemorrhages may occur from facial trauma, orbital surgery, and peribulbar or retrobulbar injections. Although a retrobulbar hemorrhage reportedly occurs in less than 2% of retrobulbar anesthetic injections, it may result in a devastating loss of vision by compression of the circulation from mechanical tamponade, central retinal artery occlusion, or optic atrophy if not detected and treated immediately. The majority of retrobulbar hemorrhages can be managed conservatively with digital ocular massage or intravenous acetazolamide or mannitol. However, further surgical intervention is indicated when vision is at risk.

This is a case of a retrobulbar hemorrhage following retrobulbar anesthetic injection for a routine retinal procedure. In the office setting, a lateral canthotomy and inferolateral cantholysis were performed, which produced minimal decompression. Scissors were introduced through the inferolateral defect into the retrobulbar space for successful drainage of the hematoma. The inferolateral orbitotomy approach to . . . [Full Text of this Article]

REPORT OF A CASE

SURGICAL TECHNIQUE

COMMENT

CONCLUSION

AUTHOR INFORMATION

Author Affiliations: University of Wisconsin, Madison.