153 results match your criteria Acute Orbital Compartment Syndrome


Radiation on Earth or in Space: What Does It Change?

Int J Mol Sci 2021 Apr 3;22(7). Epub 2021 Apr 3.

Inserm, U1296 Unit, «Radiation: Defense, Health and Environment», Centre Léon-Bérard, 28, Rue Laennec, 69008 Lyon, France.

After having been an instrument of the Cold War, space exploration has become a major technological, scientific and societal challenge for a number of countries. With new projects to return to the Moon and go to Mars, radiobiologists have been called upon to better assess the risks linked to exposure to radiation emitted from space (IRS), one of the major hazards for astronauts. To this aim, a major task is to identify the specificities of the different sources of IRS that concern astronauts. Read More

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Case 292.

Radiology 2021 Apr;299(1):234-236

From the Departments of Ophthalmology (V.P.D., K.A.A.D., B.K.C.) and Radiology (K.L.R.), Massachusetts Eye and Ear Infirmary, Harvard Medical School, 243 Charles St, Boston, MA 02114; and Department of Neurology, Neuro-Ophthalmology Service, Massachusetts General Hospital, Harvard Medical School, Boston, Mass (B.K.C.).

History A 24-year-old right-handed woman presented to a neuro-ophthalmology clinic in Massachusetts in the summer with acute binocular diplopia when looking down and to the left, which started about 1 month earlier. Her medical history was notable for Raynaud syndrome, recurrent streptococcal pharyngitis, and an allergy to amoxicillin. Three days prior to developing diplopia, she presented to an outside emergency department due to fever, chills, and back pain. Read More

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Acute Orbital Compartment Syndrome After Coil Embolization of a Contralateral Carotid Cavernous Fistula.

J Neuroophthalmol 2021 Jan 11. Epub 2021 Jan 11.

Department of Ophthalmology (CLG, AAT, AQT, CO, KJG), Weill Cornell Medical College, New York, New York; Weill Cornell Medical College (AYJL), New York, New York; and Departments of Neurological Surgery (AP) and Radiology (AP), Weill Cornell Medical College, New York, New York.

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January 2021

Radiomic analysis of the optic nerve at the first episode of acute optic neuritis: an indicator of optic nerve pathology and a predictor of visual recovery?

Radiol Med 2021 May 3;126(5):698-706. Epub 2021 Jan 3.

Radiology Department, ASST Fatebenefratelli Sacco, Piazza Principessa Clotilde 3, 20123, Milan, Italy.

Objective: Retinal nerve fiber layer thickness (RNFL) is a biomarker of neuroaxonal loss and index of visual function in multiple sclerosis (MS). We aimed to assess the correlation between radiomic features and RNFL, visual acuity (VA) at patients' presentation, visual outcome (VO), and clinical diagnosis.

Methods: We reviewed imaging and clinical data of 25 patients with a first episode of optic neuritis (ON) (14 females, 11 males; 5 bilateral ON; 7 left ON; 13 right ON). Read More

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Orbital-Conjunctival-Eyelid Hemorrhage-Hematoma due to Inappropriate use of FFP2/NK95 Facial Mask in COVID-19.

Cureus 2020 Oct 31;12(10):e11273. Epub 2020 Oct 31.

Ophthalmology, 12 de Octubre Hospital, Complutense University, Madrid, ESP.

A non-traumatic or spontaneous orbital hemorrhage (NTOH) is usually caused by the presence of an orbital mass, an inflammation, an infection, a bleeding disorder or those called idiopathic. This entity usually affects elderly adults and some risk factors can be identified. The NTOH normally acts like a benign and self-limited process, but attending to its anatomical pattern, may need specific management. Read More

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October 2020

Rhino-Orbital Mucormycosis Associated With COVID-19.

Cureus 2020 Sep 30;12(9):e10726. Epub 2020 Sep 30.

Chest Medicine, Lilavati Hospital and Research Center, Mumbai, IND.

Coronavirus disease 2019 (COVID-19) infections may be associated with a wide range of bacterial and fungal co-infections. We report the case of a patient with COVID-19 infection, which, during the course of the treatment, developed rhino-orbital mucormycosis. A 60- year-old male patient, a longstanding diabetic, with a positive reverse-transcriptase polymerase chain reaction (RT-PCR) for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), was admitted for treatment. Read More

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September 2020

[Experience on single-lung mechanical ventilation combined with damage control in treatment of patients with severe multiple trauma].

Zhonghua Wei Zhong Bing Ji Jiu Yi Xue 2020 Sep;32(9):1128-1130

Department of Intensive Care Unit, Qingzhou Hospital Affiliated to the First Medical University of Shandong (Qingzhou People's Hospital), Qingzhou 262500, Shandong, China. Corresponding author: Zhang Yunzhong, Email:

On April 6, 2020, a case of severe crush injuries in head, neck, chest and right upper extremity was admitted to Qingzhou Hospital Affiliated to the First Medical University of Shandong Province. In addition to the crush injuries, the case also suffered from shock, crush syndrome, trauma-induced coagulopathy (TIC), and acute respiratory distress syndrome (ARDS). The female patient was 44 years old, and was admitted to the hospital at 07:00 on April 6, 2020 due to traffic accident with head, neck, chest, right upper limb injuries with disturbance of consciousness for 1 hour. Read More

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September 2020

Ocular Complications in the Prone Position in the Critical Care Setting: The COVID-19 Pandemic.

J Intensive Care Med 2021 Mar 28;36(3):361-372. Epub 2020 Sep 28.

Department of Ophthalmology, Barking Havering and Redbridge University Hospitals NHS Trust, 156727Queens Hospital, Romford, UK.

Purpose: Ocular complications are common in the critical care setting but are frequently missed due to the focus on life-saving organ support. The SARS-CoV-2 (COVID-19) pandemic has led to a surge in critical care capacity and prone positioning practices which may increase the risk of ocular complications. This article aims to review all ocular complications associated with prone positioning, with a focus on challenges posed by COVID-19. Read More

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Mucormycosis with orbital compartment syndrome in a patient with COVID-19.

Am J Emerg Med 2021 Apr 16;42:264.e5-264.e8. Epub 2020 Sep 16.

Department of mergency Medicine, University at Buffalo, 77 Goodell St, Suite 340, Buffalo, NY 14203, United States of America. Electronic address:

During the current pandemic of COVID-19, a myriad of manifestations and complications has emerged and are being reported on. We are discovering patients with COVID-19 are at increased risk of acute cardiac injury, arrythmias, thromboembolic complications (pulmonary embolism and acute stroke), and secondary infection to name a few. I describe a novel case of COVID-19 in a previously healthy 33-year-old female who presented for altered mental status and proptosis. Read More

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Spaceflight medical countermeasures: a strategic approach for mitigating effects from solar particle events.

Authors:
Lisa S Carnell

Int J Radiat Biol 2020 Oct 14:1-7. Epub 2020 Oct 14.

Biological and Physical Sciences Division, NASA Langley Research Center, Hampton, VA, USA.

NASA was recently charged with returning humans to the lunar surface within the next five years. This will require preparation for spaceflight missions of longer distance and duration than ever performed in the past. Protecting the crew and mission from the hazards associated with spaceflight will be a priority. Read More

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October 2020

Orbital Compartment Syndrome Following Major Burn Resuscitation: A Case Series and Survey of Practice Patterns.

J Burn Care Res 2021 Mar;42(2):193-199

Division of Plastic and Reconstructive Surgery, University of Toronto, Ontario, Canada.

Orbital compartment syndrome (OCS) is a rare but devastating complication of over-resuscitation in burn patients that may lead to permanent visual loss. The purpose of this study was to 1) present a series of burn patients with OCS and 2) survey practice patterns of monitoring intra-ocular pressure (IOP) during burn resuscitation. Cases of OCS at two American Burn Association (ABA)-verified burn centers were retrospectively reviewed. Read More

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Cerebral palsy and associated complex congenital nasolacrimal duct obstruction and pediatric acute dacryocystitis.

Orbit 2020 Jul 27:1-3. Epub 2020 Jul 27.

Govindram Seksaria Institute of Dacryology, L.V. Prasad Eye Institute , Hyderabad, India.

Cerebral palsy (CP) is a congenital syndrome with systemic manifestations secondary to a non-progressive lesion of the immature brain. It is associated with numerous cerebral and non-cerebral malformations. The present report describes a 2-year-old baby with spastic CP, diplegic type, associated with congenital cardiac malformations and right eye complex congenital nasolacrimal duct obstruction (CNLDO) (bony nasolacrimal duct stenosis and buried probe) requiring endoscopic dacryocystorhinostomy and left eye simple CNLDO which resolved on probing the system. Read More

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Atypical optic neuritis as the presenting feature of testicular malignancy: Rare case report with review of literature.

Indian J Ophthalmol 2020 Aug;68(8):1696-1698

Department of Ophthalmology, H.I.M.S.R and H.A.H.C Hospital, New Delhi, India.

A 23-year-old male presented with unilateral acute onset, painless, progressive diminution of vision. Initial clinical and radiological findings were consistent with optic neuritis. The patient was started on pulse steroids leading to visual recovery. Read More

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Personal protective equipment (PPE) during the COVID-19 pandemic for oculofacial plastic and orbital surgery.

Orbit 2020 Jun 18:1-6. Epub 2020 Jun 18.

Department of Ophthalmology and Vision Sciences, St. Michael's Hospital, University of Toronto , Toronto, ON, Canada.

Purpose: To review the current literature on Coronavirus Disease 2019 (COVID-19) virology and transmission; to present a decision tree for risk stratifying oculofacial plastic and orbital surgeries; and to generate personal protective equipment (PPE) recommendations by risk category.

Methods: A comprehensive literature review on COVID-19 was conducted. A two-stage modified Delphi technique involving 18 oculofacial plastic and orbital surgeons across Canada was used to determine consensus risk-stratification criteria and PPE recommendations for surgeries performed in the North American context. Read More

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Evidence-based algorithm for the management of acute traumatic retrobulbar haemorrhage.

Br J Oral Maxillofac Surg 2020 11 13;58(9):1091-1096. Epub 2020 Jun 13.

Byers Eye Institute, Stanford University, Palo Alto, CA; Stanford University Hospital, Stanford, CA. Electronic address:

Retrobulbar haemorrhage (RBH) is a potentially blinding consequence of craniofacial trauma, but timely ophthalmic evaluation is difficult to obtain in some settings and clear standards for canthotomy/cantholysis are lacking. We have sought to develop an algorithm to identify vision-threatening traumatic RBH that requires emergent decompression. We retrospectively reviewed 42 consecutive consultations for RBH at a level-one trauma centre. Read More

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November 2020

Orbital infarction syndrome after mechanical thrombectomy in acute ischaemic stroke.

BMJ Case Rep 2020 May 5;13(5). Epub 2020 May 5.

Radiology, Hospital Clinico Universitario San Carlos, Madrid, Spain.

Orbital infarction syndrome (OIS) encompasses the ischaemic infarction of all intraorbital and intraocular structures (optic nerve, extraocular muscles and orbital fat) which leads to a painful loss of visual acuity, ophthalmoparesis, chemosis, proptosis and ptosis. The rich anastomotic orbital vascularisation from internal carotid artery (ICA) and external carotid artery makes this disorder a rare cause of visual loss in stroke patients. We describe a case of a woman who suffered an acute occlusion of her right ICA and developed an OIS after mechanical thrombectomy. Read More

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Orbital Compartment Syndrome without Evidence of Orbital Mass or Ocular Compression After Pterional Craniotomy for Removal of Meningioma of the Frontal Lobe: A Case Report and Literature Review.

World Neurosurg 2020 07 25;139:588-591. Epub 2020 Apr 25.

Division of Neurosurgery, Department of Surgery, Uniformed University of the Health Sciences, Bethesda, Maryland, USA. Electronic address:

Background: Orbital compartment syndrome (OCS) is a rare post operative complication of Neurosurgery. It presents typically acutely with loss of vision, loss of pupillary reaction, and limitation of extraocular movement. The etiology of OCS is most typically associated with increased pressure from a mass lesion in the orbit compromising the blood supply of orbital structures. Read More

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Orbital and Eyelid Inflammation With "Muciphages" and Extravasated Mucin From an Ethmoido-orbital Mucocele.

Ophthalmic Plast Reconstr Surg 2021 Jan-Feb 01;37(1):e1-e3

Department of Ophthalmology.

A 22-year-old woman presented with an acute compressive optic neuropathy due to a ruptured ethmoido-orbital mucocele. She underwent urgent orbital decompression and drainage of the mucocele via an endoscopic approach. Postoperatively, her course was complicated by an orbital compartment syndrome supervened, exhibiting severe eyelid edema caused by infiltration with mucin and mucin-containing macrophages ("muciphages"). Read More

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To What Extent Can Orbital Cellulitis Emergency Aspect Influence the Diagnosis of Maxillary Sinus Lymphoma?

Case Rep Ophthalmol Med 2020 8;2020:2304861. Epub 2020 Apr 8.

Ophthalmology Department, Military Instruction Hospital Mohammed V, Rabat, Morocco.

We present a case of a 46-year-old woman admitted to the emergency department for acute swelling and erythema of the right eyelid for 3 days. Ophthalmological examination was notable for 10/10, P2 best visual acuity, and inflammatory periorbital edema, without exophthalmia nor extraocular motility disturbance. Intraocular pressure was 14 mmHg and fundoscopic examination was not notable for any abnormality. Read More

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Bilateral simultaneous orbital hemorrhage and compartment syndrome as the presenting sign of acquired hemophilia A in an 11-year-old girl.

J AAPOS 2020 04 12;24(2):124-126. Epub 2020 Feb 12.

Eye Institute, Cleveland Clinic Abu Dhabi, Abu Dhabi, United Arab Emirates; Department of Ophthalmology, Lerner College of Medicine of Case Western University, Cleveland, Ohio. Electronic address:

A previously healthy 11-year-old girl presented with bilateral orbital compartment syndrome secondary to retrobulbar hemorrhages requiring emergency cantholysis. Four days earlier she had sustained head trauma without symptoms until her acute presentation. A basic hematologic profile was remarkable for a prolonged partial thromboplastin time, which did not completely correct with a 1:1 mixing study. Read More

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Acute radiation risk assessment and mitigation strategies in near future exploration spaceflights.

Life Sci Space Res (Amst) 2020 Feb 31;24:25-33. Epub 2019 Oct 31.

NASA Johnson Space Center, Houston TX, United States.

As more exploration spaceflights are planned to travel beyond the protective Earth magnetosphere to deep space destinations, acute health risks due to possible high radiation doses during severe Solar Particle Events (SPEs) are of greater concern to mission planners and management teams. It is expected that some degree of Acute Radiation Syndromes (ARS) symptoms may be observed, but the specific list of health risks that are relevant to exploration missions has been ambiguous and debatable in the past. This mini-review gives a brief summary of the features of radiation exposure if astronauts encounter severe SPEs beyond Low Earth Orbit (LEO), the evidence of ARS radiobiological studies at exposure levels close to recommended limits, and the shortcomings of previous dose projection approaches for ARS risk assessment. Read More

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February 2020

Effect of pterygopalatine blockade on perioperative stress and inflammatory outcomes following paediatric cataract surgery.

Reg Anesth Pain Med 2020 03 20;45(3):204-208. Epub 2020 Jan 20.

Anesthesiology, Irkutsk Branch of S. Fyodorov Eye Microsurgery Federal State Institution, Irkutsk, Russian Federation.

Background: General anesthesia is required to perform pediatric cataract surgery. To reduce severity of surgical intervention and postoperative complications, regional techniques have been concomitantly used. The traditional regional ophthalmic techniques are retrobulbar, peribulbar and sub-Tenon blocks, which present some technical difficulties and associated complication risks. Read More

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[Acute compression of the optic nerve due to orbital emphysema].

Ophthalmologe 2020 Oct;117(10):1037-1040

Universitätsklinik und Poliklinik für Mund‑, Kiefer- und Plastische Gesichtschirurgie, Universitätsklinikum Halle (Saale), Ernst-Grube-Str. 40, 06120, Halle, Deutschland.

Bony defects of the orbit with connection to the paranasal sinuses can lead to orbital emphysema. A case of compression of the optic nerve due to orbital emphysema in a 39-year-old man is reported. Visual acuity was hand movements only and intraocular pressure was increased to 32 mm Hg with an exophthalmus of 6 mm in comparison to the unaffected side. Read More

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October 2020

Visual impairment in high flow and low flow carotid cavernous fistula.

Sci Rep 2019 09 6;9(1):12872. Epub 2019 Sep 6.

Shri Bhagwan Mahavir Vitreoretinal Services, Sankara Nethralaya, Chennai, India.

Our aim is to study the varied posterior segment manifestations, level of visual impairment (VI) and its causes in carotid cavernous fistula (CCF) patients. A retrospective study was done, wherein data was obtained from 48 digital subtraction angiogram (DSA) proven CCF patients. CCF was classified according to Barrow et al. Read More

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September 2019

Orbital Compartment Syndrome Secondary to Direct Carotid Cavernous Fistula After Carotid Cavernous Aneurysm Rupture: Case Report and Review of Literature.

World Neurosurg 2020 Jan 14;133:409-412. Epub 2019 Aug 14.

Division of Vascular and Endovascular Neurosurgery, Firoozgar Hospital, Tehran, Iran; Neuroscience Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran. Electronic address:

Background: Carotid cavernous aneurysm (CCA) rupture is rare. However, it can result in various complications such as carotid cavernous fistula (CCF), epistaxis, spontaneous thrombosis, and subarachnoid hemorrhage.

Case Description: We report a 65-year-old woman with a history of uncontrolled diabetes who was referred with complaints of acute headache, diplopia, proptosis, and chemosis. Read More

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January 2020

Reversible Charles Bonnet syndrome secondary to upper lid ptosis.

Orbit 2020 Aug 5;39(4):302-304. Epub 2019 Aug 5.

Ophthalmologist, Wye Valley NHS Trust , Hereford, UK.

Complex visual hallucinations can occur in visually impaired individuals with no underlying psychiatric disorder. This phenomenon is known as Charles Bonnet syndrome (CBS). It is more common in elderly patients who are suffering from impaired vision due to ocular or neurological disease processes, resulting in sensory deprivation. Read More

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Beware of the sneeze.

Surv Ophthalmol 2020 Sep - Oct;65(5):592-596. Epub 2019 Apr 10.

University of Minnesota Departments of Ophthalmology and Visual Neurosciences and Otolaryngology, University of California, San Diego, California, USA.

Switch/sucrose non-fermentable-related matrix-associated actin-dependent regulator of chromatin subfamily B member 1 (SMARCB1), also known as integrase interactor 1-deficient sinonasal carcinoma, is a rare entity that was first described in 2014. Since then, there have been 39 cases published in the literature, with basaloid or plasmacytoid/rhabdoid morphology being the most common pathological subtype. We report a patient with switch/sucrose non-fermentable-related matrix-associated actin-dependent regulator of chromatin subfamily B member 1 (integrase interactor 1)-deficient sinonasal carcinoma who had permanent vision loss after valsalva-induced acute hemorrhage and resultant orbital compartment syndrome. Read More

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Management of acute retrobulbar haemorrhage: a survey of non-ophthalmic emergency department physicians.

Emerg Med J 2019 Apr 10;36(4):245-247. Epub 2019 Jan 10.

Emergency Department, Birmingham Children's Hospital, Birmingham, UK.

Introduction: Acute retrobulbar haemorrhage (RBH) with orbital compartment syndrome is a sight-threatening ophthalmic emergency requiring treatment with lateral canthotomy and cantholysis (LC/C). However, such cases may present to non-ophthalmic emergency departments (ED) out-of-hours, when specialist intervention is not readily available. We completed a survey of ED physicians to explore experiences of RBH and confidence in undertaking LC/C. Read More

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Orbital compartment syndrome resulting in unilateral blindness in two dogs.

Open Vet J 2018 22;8(4):445-451. Epub 2018 Nov 22.

Department of Clinical Sciences, Companion and Equine Animals, Ophthalmology, University of Liège, Quartier Vallée 2, Avenue de Cureghem 3, 4000 Liège, Belgium.

Orbital compartment syndrome (OCS) is described in humans as an acute rise in intraorbital pressure following a severe and rapidly evolving orbital affection. It includes orbital oedema, haemorrhage or infection causing a marked reduction in local blood perfusion, and severely affecting the orbital neurovascular structures. If not promptly recognised and treated, it results in irreversible blindness. Read More

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November 2018

[Hyaluronic acid gel implants for correction of pathological conditions of the orbit and eyelids].

Vestn Oftalmol 2018;134(5):61-71

Research Institute of Eye Diseases, 11A Rossolimo St., Moscow, Russian Federation, 119021.

Purpose: To evaluate the effectiveness of injectable implants made of hyaluronic acid gel (HAG) in ophthalmoplastics.

Material And Methods: The study included 57 patients (37 patients with lagophthalmos related to acute or chronic facial nerve palsy, endocrine ophthalmopathy; 20 patients with enophthalmos, anophthalmic syndrome). Depending on filler particle size, the patients received either intrapalpebral or intraorbital HAG injection. Read More

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