title: Orbital Compartment Syndrome Leading to Visual Loss following Orbital Floor Reconstruction.
abstract: Reconstruction of posttraumatic orbital defects carries the attendant risk of injury to the ocular adnexa, globe, and associated neurovascular structures. Blindness following repair of orbital fractures is an infrequent but well-documented phenomenon. Visual acuity loss can be related to direct intraoperative injury to the optic nerve, retinal arterial occlusion, or delayed presentation of acute optic nerve injury. In this report, we document a unique case of acute optic nerve infarction occurring 14 hours following orbital floor exploration and repair in a 56-year-old man.
authors.affiliation: Department of Plastic Surgery, Johns Hopkins Hospital, Baltimore, Maryland.
authors.forename: Srinivas M
authors.initials: SM
authors.lastname: Susarla
authors.affiliation: Department of Plastic Surgery, Shock Trauma Center, University of Maryland Medical System, Baltimore, Maryland.
authors.forename: Arthur J
authors.initials: AJ
authors.lastname: Nam
authors.affiliation: Department of Plastic Surgery, Johns Hopkins Hospital, Baltimore, Maryland; Department of Plastic Surgery, Shock Trauma Center, University of Maryland Medical System, Baltimore, Maryland.
authors.forename: Amir H
authors.initials: AH
authors.lastname: Dorafshar
keywords: maxillofacial trauma; optic neuropathy; orbital compartment syndrome; orbital exploration; orbital floor fracture