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Updated: May 22, 2026
08:18
Three-Dimensional Reconstruction of Orbital Fractures
Published on: May 16, 2025
Orbital compartment syndrome following aneurysm surgery
Andrew J Gauden1, Thomas Hardy, Heather G Mack
1Department of Neurosurgery, The Royal Melbourne Hospital, Grattan Street, Parkville, Victoria 3050, Australia. andrew.gauden@mh.org.au
Summary
Orbital compartment syndrome (OCS) is a rare cause of blindness after brain surgery. Prompt treatment with decompression and medication is crucial for vision preservation.
Area of Science:
- Ophthalmology
- Neurosurgery
- Vascular Surgery
Background:
- Orbital compartment syndrome (OCS) is a rare but serious complication following intracranial surgery.
- It can lead to profound vision loss due to increased intraorbital pressure.
Observation:
- A case of OCS is presented following intracranial cerebrovascular surgery.
- The syndrome was precipitated by severe straining, leading to a rapid rise in intraorbital pressure.
Findings:
- OCS caused hypoperfusion of orbital neural structures, resulting in visual loss and external ophthalmoplegia.
- Urgent treatment included surgical soft tissue decompression, corticosteroids, and osmotic agents.
Implications:
- Clinicians should consider OCS in the differential diagnosis of vision loss in the neurosurgical postoperative setting.
- Rapid diagnosis and intervention are critical to prevent irreversible visual impairment and preserve function.
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