Vertical lid split procedure: Difference between revisions
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==External Links== | ==External Links== | ||
*[https://emcrit.org/emcrit/orbital-compartment-syndrome/| Emcrit - Orbital Compartment Syndrome] | |||
==References== | ==References== | ||
Revision as of 20:31, 14 October 2024
Overview
The vertical lid split procedure is an alternative to the traditional lateral canthotomy and allows for equally effective and most likely easier method of orbital decompression.[1]
Originally described as a surgical approach for gaining anterior access to the orbit for patients with ocular tumors[2] the process has less steps and less landmark distortions in patients with orbital compartment syndrome. It is frequently performed for many ocular surgeries.[3] By making an 5mm long incision through the upper and lower eyelid on the lateral third, the orbit can move more anteriorly and emergently relieve pressure caused by an retro-orbital hematoma.
Indications
Contraindications
Equipment Needed
- Foreceps
- Iris Scissors
- Sedation (if time permits)
Procedure
A full-thickness vertical incision is made at the junction of the later 1/3 of the upper and lower eyelid.
Complications
- Incomplete incision through the eyelid
- Iatrogenic globe or surrounding structure injury (rare)
- Bleeding
See Also
External Links
References
- ↑ Elpers J, Areephanthu C, Timoney PJ, Nunery WR, Lee HBH, Fu R. Efficacy of vertical lid split versus lateral canthotomy and cantholysis in the management of orbital compartment syndrome. Orbit. 2021 Jun;40(3):222-227. doi: 10.1080/01676830.2020.1767154. Epub 2020 May 27. PMID: 32460574.
- ↑ Smith B. The anterior surgical approach to orbital tumors. Trans Am Acad Ophthalmol Otolaryngol. 1966 Jul-Aug;70(4):607-11. PMID: 5967575.
- ↑ Song J, Lee GK, Kwon ST, Kim SW, Jeong EC. Modified transconjunctival lower lid approach for orbital fractures in East Asian patients: the lateral paracanthal incision revisited. Plast Reconstr Surg. 2014 Nov;134(5):1023-1030. doi: 10.1097/PRS.0000000000000639. PMID: 25347636.