Early Detection of Traumatic Retrobulbar Hemorrhage Using Bedside Ocular Ultrasound

Ultrasound Identification of Retrobulbar Hematomas by Emergency Physicians in a Cadaveric Model

“…other traumatic injury management. 5 RBH has been identified using bedside ocular ultrasound in several case reports; however, no systematic studies of this condition exist, likely due to the rare nature of this injury. 5 Cadaver models represent a useful way to simulate rare pathologies for both research and educational purposes.…”

“…5 RBH has been identified using bedside ocular ultrasound in several case reports; however, no systematic studies of this condition exist, likely due to the rare nature of this injury. 5 Cadaver models represent a useful way to simulate rare pathologies for both research and educational purposes. 6,7 This is important not only for advancing our understanding of certain disease processes, but also to allow clinicians to become exposed to pathology not seen in day-to-day practice.…”

Orbital Compartment Syndrome Following Mechanical Fall

“… 2 , 6 LCC, the primary treatment for OCS, is a relatively simple procedure ideally performed within 60–120 minutes of symptom onset to prevent permanent vision loss. 1 , 3 , 4 , 7 …”

“…Diagnosis of OCS can be challenging as the patient’s examination may be limited by altered mental status; vision loss may be masked by inability to open edematous eyelids; and orbital pain may be explained by bony and soft tissue injury. 7 CT findings concerning for OCS include tenting of the posterior sclera – otherwise known as “guitar pick” sign – caused by intraocular mass ( Images 1 and 2 ). 8 Although CT findings of retro-orbital hematoma should raise suspicion for OCS, serial evaluations are essential for detecting OCS in evolution.…”

Modern Management of Maxillofacial Injuries

“…Clinical suspicion is particularly difficult in unconscious patients, in whom visual acuity deterioration cannot be proved. In hemodynamically stable patients, tonometry with portable devices, B-scan sonography [50], and flash-evoked visual potentials [42,49,51] are more useful than fundus-copy, because the onset of anatomic alterations of the papilla needs time (7-14 days).…”