Acute Orbital Compartment Syndrome Clinical Presentation
- Author: David A Peak, MD; Chief Editor: Robert E O'Connor, MD, MPH more...
Symptoms of acute orbital compartment syndrome may include the following:
- Eye pain
- Visual loss
- Reduction of ocular motility
Physical examination findings of acute orbital compartment syndrome may include the following:
- Proptosis (best visualized in coronal/superior view while the patient is in a semi-reclining position)
- Ecchymosis of eyelids
- Chemosis - Often severe and may be bloody
- Afferent pupillary defect
- Decreased visual fields
- Decreased visual acuity
- Central retinal artery pulsation
- Pale optic disc (late)
- Cherry-red macula (rare)
Visual acuity may be measured in the patient with acute trauma via a handheld eye chart or even counting fingers at a distance. Acuity should be rechecked at periodic intervals, and any decrease is cause for concern.
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