Orbital compartment syndrome in a burn patient without aggressive fluid resuscitation.

Abstract

INTRODUCTION:

Orbital compartment syndrome may rarely occur in the setting of burns where therapy includes aggressive fluid resuscitation.

CASE:

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.

COMMENT:

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.

• Authors: Jonathan Hurst, Davin Johnson, Robert Campbell, Stephanie Baxter, Vladimir Kratky
• Journal: Orbit (Amsterdam, Netherlands) (Orbit) Vol. 33 Issue 5 Pg. 375-7 (Oct 2014) ISSN: 1744-5108 [Electronic] England
• PMID: 24694219 (Publication Type: Case Reports, Journal Article)

Chemical References

• Hydrobromic Acid

Topics

• Adolescent
• Burns, Chemical (etiology)
• Compartment Syndromes (etiology, surgery)
• Eye Burns (chemically induced)
• Eyelids (surgery)
• Facial Injuries (chemically induced)
• Fluid Therapy
• Humans
• Hydrobromic Acid (adverse effects)
• Intraocular Pressure
• Male
• Ophthalmologic Surgical Procedures
• Orbital Diseases (etiology, surgery)
• Tomography, X-Ray Computed