Traumatic orbital compartment syndrome: Importance of the lateral canthomy and cantholysis
. Emerg Med Australas 2014;26:274-8.
When combined with cantholysis
, even a defect occupying up to 50% or more of the eyelid may be closed directly .
The lateral canthotomy and cantholysis
was then performed, and it adequately relieved the intraocular pressure.
A wide excision of the lesion along with lid margin was performed and lid was reconstructed by direct closure with lateral cantholysis
under general anaesthesia.
Latetal canthotomy and inferior cantholysis
: an effective method of urgent orbital decompression for sight threatening acute retrobulbar haemorrhage.
Later in the day her visual acuity had deteriorated to 2/21 and an urgent lateral canthotomy and cantholysis
Upper eyelid full-thickness eyelid defect with 30-60% of horizontal tissue loss is reconstructed by primary closure as described above after release and advancement of lateral tissue by lateral canthotomy followed by cantholysis
If significant horizontal laxity was present (identified with an eyelid distraction test, snap back test, or both preoperatively), a lateral canthotomy and inferior cantholysis
were performed before securing the tarsoconjunctival flap to the posterior lamella.
should be performed, including both a lateral canthotomy and canthal tendon disinsertion.
Tumoural defects that occupy less than 25% of superior eyelids could be fixed with primary saturation after transformation to a pentagonal shape, but full thickness defects that occupy 25-50% of the eyelid need lateral and medial canthotomy and cantholysis
. Also, Tenzel semicircular flaps could be used in defects that occupy more than 50% of superior eyelids and have 2 mm tars tissue laterally and medially.
In order to release the orbital pressure and prevent further compression of the optic nerve, lateral cantholysis
Needle decompression or lateral canthotomy with cantholysis
can be performed in the acute setting.