Other causes of OCS include orbital congestion secondary to burn resuscitation and significant orbital emphysema after orbital fracture (pneumo-orbita). OCS from any cause may have a delayed onset. Patients with trauma to the orbit must be closely monitored for development of OCS.

Goal

Lower the orbital compartment pressure as soon as possible to prevent tissue damage.

Minimum

Initiate teleconsultation with photographs.

Better

Best

NOTES:

In thermal burns, consider early LCC (before full OCS develops). Fluid resuscitation requirements will take precedence over the use of medical treatments to reduce IOP.

 

3. BLUNT / CLOSED GLOBE INJURY

This category includes anterior segment injuries such as hyphema (bleeding into the anterior chamber) and posterior segment injuries such as vitreous hemorrhage and retinal detachment. Blunt trauma can result in severe loss of vision.