Eyelid: Lateral canthotomy

Ashley Crane, Benjamin Erickson, Wendy Lee

Research output: Chapter in Book/Report/Conference proceedingChapter


Patients should be evaluated and deemed appropriate for such surgical intervention. Patients with orbital compartment syndrome due to hemorrhage, pneumo-orbita, or other causes of increased intraorbital pressure, who are at risk for optic nerve compression or hypoperfusion, are candidates for this procedure. Experimental studies demonstrate that permanent ischemic changes can occur within 90 min, so this procedure is performed emergently in appropriate patients, without waiting for radiographic studies. Additional therapeutic measures, such as the administration of ocular hypotensive drops or systemic osmotic diuretics, may also be indicated. The technique can also be utilized on an elective basis in conjunction with other procedures for horizontal lid tightening or reconstruction. Patients should be educated about the risks and benefits of the procedure, including alternatives.

Original languageEnglish (US)
Title of host publicationOperative Dictations in Ophthalmology
PublisherSpringer International Publishing
Number of pages3
ISBN (Electronic)9783319454955
ISBN (Print)9783319454948
StatePublished - Apr 24 2017


  • Canthotomy
  • Canthotomy and cantholysis
  • Lateral canthotomy
  • Orbital compartment syndrome
  • Retrobulbar hemorrhage

ASJC Scopus subject areas

  • Medicine(all)


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