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Updated: Mar 21, 2026

Three-Dimensional Reconstruction of Orbital Fractures
Published on: May 16, 2025
Orbital Compartment Syndrome Leading to Visual Loss following Orbital Floor Reconstruction
Srinivas M Susarla1, Arthur J Nam2, Amir H Dorafshar3
1Department of Plastic Surgery, Johns Hopkins Hospital, Baltimore, Maryland.
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.
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