Acute proptosis in trauma: retrobulbar hemorrhage or orbital compartment syndrome--does it really matter?

Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons
M Perry

Abstract

To review the nature and outcomes of acute severe proptosis in patients after craniofacial trauma, over a 6-year period. These were identified prospectively. The mechanism of injury, nature of the proptosis, and visual outcomes in each case were reviewed. Review of the literature was undertaken. In all cases proptosis, was secondary to retrobulbar edema and not hemorrhage. Many cases of "retrobulbar hemorrhage" may, in fact, be secondary to edema. This has significant implications when managing the proptosed eye on an emergent basis. Possible reasons for poor outcomes are discussed. A number of unanswered questions arise from this review.

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Citations

Aug 21, 2013·The Surgeon : Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland·J W TuckettU Harrington
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