Orbital compartment syndrome in a burn patient without aggressive fluid resuscitation.
BACKGROUND
Orbital compartment syndrome may rarely occur in the setting of burns where therapy includes aggressive fluid resuscitation.


METHODS
We report a case of bilateral orbital compartment syndrome in a 13-year-old male, with superficial facial burns secondary to hydrobromic acid, who did not receive aggressive fluid resuscitation. The patient was treated successfully with bilateral lateral canthotomy and cantholysis.


CONCLUSIONS
Facial burns may lead to orbital compartment syndrome without aggressive fluid resuscitation, likely due to excessive leakage of fluid and protein into the orbit combined with an inflammatory reaction.
Department of Ophthalmology, Queen's University , Kingston , Ontario.
Jonathan
J
Hurst
Davin
D
Johnson
Robert
R
Campbell
Stephanie
S
Baxter
Vladimir
V
Kratky
D000293:Adolescent; D002057:Burns, Chemical / Q000209:etiology*; D003161:Compartment Syndromes / Q000209:etiology* / Q000601:surgery; D005126:Eye Burns / Q000139:chemically induced*; D005143:Eyelids / Q000601:surgery; D005151:Facial Injuries / Q000139:chemically induced*; D005440:Fluid Therapy; D006801:Humans; D018054:Hydrobromic Acid / Q000009:adverse effects*; D007429:Intraocular Pressure; D008297:Male; D013508:Ophthalmologic Surgical Procedures; D009916:Orbital Diseases / Q000209:etiology* / Q000601:surgery; D014057:Tomography, X-Ray Computed
D018054:Hydrobromic Acid
Burns; chemical; compartment syndromes; eye burns; eye injuries; orbital disease