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Hypotony Without Globe Rupture During Orbital Fracture Repair
Author(s) -
Schein Yvette L.,
Bautista Sana Ali,
Kam Joanna
Publication year - 2021
Publication title -
the laryngoscope
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.181
H-Index - 148
eISSN - 1531-4995
pISSN - 0023-852X
DOI - 10.1002/lary.29583
Subject(s) - medicine , orbital fracture , medial wall , intraocular pressure , hematoma , surgery , ophthalmology
A 29‐year‐old male presented to the emergency department with an orbital fracture. He denied ocular symptoms and CT showed bilateral fracture of nasal bones, left medial orbital wall, and left orbital floor, with herniation of orbital fat and minimal retrobulbar hematoma. Pre‐operative ophthalmic exam was unremarkable. Intra‐operatively, intraocular pressure of the left eye was 5 mm Hg, a significant change from 17 mm Hg preoperatively. Globe exploration revealed no injury. Post‐operatively, IOP normalized. With these findings it was felt that ocular manipulation related to the orbital fracture repair placed significant and intermittent pressure on the globe, thereby lowering IOP. Laryngoscope , 131:2238–2240, 2021