Eye See a Problem Here: Expeditious Diagnosis and Treatment of Orbital Compartment Syndrome During Orbital Surgery Following a Retrobulbar Block

Authors

Christina Thomas, Oakland University William Beaumont School of Medicine Medical Student
Michael Balce, Corewell Health East Resident
Roy Soto, Corewell Health East

Document Type

Conference Proceeding

Publication Date

10-11-2025

Abstract

A 56-year-old male with a history of Graves’ Disease underwent orbital decompression with a retrobulbar block due to chronic proptosis. Intraoperatively, the patient began to demonstrate rapidly worsening resistance to retropulsion of the globe, consistent with signs of orbital compartment syndrome. Lateral canthotomy and cantholysis allowed for rapid decompression for this surgical emergency. We will be discussing risk factors, symptoms and signs, diagnostic modalities, and treatments involving perioperative orbital compartment syndrome.

Comments

American Society of Anesthesiologists, The Anesthesiology Annual Meeting, October 10-14, 2025, San Antonio, TX

Recommended Citation

Thomas C, Balce M, Soto R. Eye see a problem here: expeditious diagnosis and treatment of orbital compartment syndrome during orbital surgery following a retrobulbar block. Presented at: American Society of Anesthesiologists, The Anesthesiology Annual Meeting; 2025 Oct 11; San Antonio, TX. Available from:https://www.abstractsonline.com/pp8/#!/21028/presentation/8184