Efficacy of Lateral Canthotomy and Cantholysis in Orbital Hemorrhage

Yung, Chi Wah; Moorthy, Ramana S.; Lindley, Denise M.; Ringle, M.; Nunery, William R.

doi:10.1097/00002341-199406000-00012

Cited by 92 publications

(45 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In a study where orbital pressure was increased by administering saline solution to a sheep's eye, concurrent canthotomy and cantholysis (30.4 mmHg) provided more reduction in the intraocular pressure compared to canthotomy (14.2 mmHg) and cantholysis (19.2 mmHg) alone. [37] In our experience, lateral canthotomy and cantholysis technique, when combined with intravenous corticosteroids mannitol and acetazolamide, is a much more successful method. In another case who had retrobulbar haemorrhage symptoms after retrobulbar anesthesia, after decompression with lateral canthotomy and inferior cantholysis IOP decreased from 50 mmHg to 30 mmHg.…”

Section: Discussionmentioning

confidence: 84%

“…[4,8] Inferior chantolysis is more effective than chantotomy in decreasing the IOP. [37] However, concurrent lateral canthotomy and cantholysis reduce orbital pressure more effectively. In a study where orbital pressure was increased by administering saline solution to a sheep's eye, concurrent canthotomy and cantholysis (30.4 mmHg) provided more reduction in the intraocular pressure compared to canthotomy (14.2 mmHg) and cantholysis (19.2 mmHg) alone.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Acute Retrobulbar Hemorrhage: an ophthalmologic emergency for emergency physician.

Pamukcu¹,

Odabasi

2015

Ulus Travma Acil Cerrahi Derg

View full text Add to dashboard Cite

Acute retrobulbar haemorrhage (ARBH) is a rare ophthalmic emergency observed following blunt eye trauma. Multiple trauma and loss of consciousness can hide symptoms of ARBH. Rapid diagnosis and immediate lateral canthotomy and cantholysis must be performed to prevent permanent visual loss in patients. Medical treatment can be added to surgical therapy. Lateral canthotomy and cantholysis are simple procedures that can be performed by emergency physicians. In this report, it was aimed to present a case with post-traumatic ARBH and provide general knowledge about the diagnosis, follow-up and treatment of ARBH.

show abstract

Section: Discussionmentioning

confidence: 84%

Section: Discussionmentioning

confidence: 99%

Acute Retrobulbar Hemorrhage: an ophthalmologic emergency for emergency physician.

Pamukcu¹,

Odabasi

2015

Ulus Travma Acil Cerrahi Derg

View full text Add to dashboard Cite

show abstract

“…2 Acute, sight-threatening orbital haemorrhage should be decompressed by lateral canthotomy and cantholysis. 20 Non sight threatening cases can be safely managed conservatively with good long term visual outcome. 2,7,16 Figure 1 Fundal appearances of both eyes showing the marked right premacular epiretinal membrane and flat astrocytic hamartomas in the right nasal and left temporal areas.…”

Section: Commentmentioning

confidence: 99%

Spontaneous orbital haemorrhage in purpura fulminans secondary to meningococcal septicaemia

Singh¹

2002

Eye

View full text Add to dashboard Cite

“…Diese Symptome können insbesondere bei polytraumatisierten Patienten oder bei bewusstseinsgetrübten, unkooperativen Patienten übersehen werden; sie haben ohne regelrechte Behandlung jedoch katastrophale Folgen. Zur Behandlung wurde eine Vielzahl verschiedener Zugänge und Operationstechniken, wie die laterale Canthotomy und Cantholyse [10,17,18,23], der laterale Augenbrauenzugang [15], die Fraktur des Orbitabodens mit einer Klemme [13] und die transantral, transethmoidale Dekompression [19,20] mit mehr oder weniger Erfolg und Nebenwirkungen beschrieben.…”

Section: Schlüsselwörterunclassified

“…Die meisten Zugän-ge bieten einen limitierten medialen [19,20], inferioren [13] oder anterolateralen [9,10,17,23] Zugang für eine ausreichende und übersichtliche Entlastung des Orbitainhalts. Wir sehen eine Reihe von Vorteilen in dem von uns beschriebenen pterionalen Zugang, bei dem durch die osteoklastische Trepanation insbesondere ein Raumgewinn der lateralen und superolateralen Orbita erzielt wird.…”

Section: Diskussionunclassified

Die pterionale Orbitadekompression bei traumatischen Orbitahämatomen

et al. 2002

View full text Add to dashboard Cite

The results are presented for pterional orbital decompression in 12 patients with symptomatic traumatic retrobulbar hematoma after various traumatic mechanisms. Pre- and postoperative course, neuroradiological findings, additional brain or facial injuries as well as outcome of eye function are analyzed in detail. Mean time delay between trauma and decompression was 56 h (2.4 days), with a wide range from 2 h to 15 days. Preoperative exophthalmos and pupillary disturbances as well as restrictions of extraocular movements decreased in all patients after orbital decompression and removal of the retrobulbar hematoma if the bleeding was localized. Visual acuity remained normal or showed significant improvement in seven patients, four of whom experienced complete recovery. In three patients the eye remained amaurotic. No complications related to the operation were seen. The pterional orbital decompression described here represents an effective alternative approach for patients with sight-threatening retrobulbar hematoma, especially in cases where it is necessary to gain space for the orbit in addition to evacuating space-occupying blood or bone clots and treating neighbouring lesions. Immediate detection and adequate treatment of orbital hematomas is mandatory to achieve an acceptable outcome of eye function.

show abstract

Efficacy of Lateral Canthotomy and Cantholysis in Orbital Hemorrhage

Cited by 92 publications

References 0 publications

Acute Retrobulbar Hemorrhage: an ophthalmologic emergency for emergency physician.

Acute Retrobulbar Hemorrhage: an ophthalmologic emergency for emergency physician.

Spontaneous orbital haemorrhage in purpura fulminans secondary to meningococcal septicaemia

Die pterionale Orbitadekompression bei traumatischen Orbitahämatomen

Contact Info

Product

Resources

About