See Anna, Gan Eng Cern
Department of Otolaryngology - Head and Neck Surgery, Changi General Hospital, Singapore.
Department of Otolaryngology - Head and Neck Surgery, Changi General Hospital, Singapore.
Am J Otolaryngol. 2015 Nov-Dec;36(6):828-31. doi: 10.1016/j.amjoto.2015.07.017. Epub 2015 Aug 5.
Orbital compartment syndrome is a rare ocular emergency requiring immediate intervention to prevent vision loss. It can arise due to a variety of causes including trauma, neoplasms and retrobulbar hemorrhage during endoscopic sinus surgery. Lateral canthotomy and inferior cantholysis is a well-known therapeutic procedure to rapidly relieve raised intraocular pressures.
We report a case of a subperiosteal orbital abscess due to acute maxillary sinusitis that underwent endoscopic drainage. Intraoperatively, he developed raised intraocular pressure following irrigation of the maxillary sinus and manual pressure on the malar abscess, necessitating emergent lateral canthotomy and inferior cantholysis.
To our knowledge, this is the first reported case of orbital compartment syndrome following sinonasal irrigation and malar pressure in the English literature. This case will serve as a reminder to the sinus surgeon of the potential danger of transmitted pressure from the paranasal sinus or malar soft tissue into the orbital compartment.
眼眶间隔综合征是一种罕见的眼科急症，需要立即干预以防止视力丧失。它可由多种原因引起，包括外伤、肿瘤以及内镜鼻窦手术期间的球后出血。外眦切开术和下睑眦松解术是一种众所周知的可迅速缓解眼压升高的治疗方法。
我们报告一例因急性上颌窦炎导致的骨膜下眼眶脓肿患者，该患者接受了内镜引流术。术中，在上颌窦冲洗及对颧骨脓肿施加手动压力后，患者眼压升高，因此需要紧急进行外眦切开术和下睑眦松解术。
据我们所知，这是英文文献中首例报道的鼻窦冲洗及颧骨施压后发生眼眶间隔综合征的病例。该病例将提醒鼻窦外科医生注意来自鼻窦或颧骨软组织的压力传递至眼眶间隔的潜在危险。
