Definitive therapy is lateral canthotomy and inferior cantholysis(LCIC)
Emergent ophthalmology consultation
Consider adjunctive medical therapy:
20% mannitol 2 g/kg IV
methylprednisolone, 250mg IV or hydrocortisone 100mg IV
acetazolamide, 250 to 500mg IV
20% mannitol 2 g/kg IV
methylprednisolone, 250mg IV or hydrocortisone 100mg IV
acetazolamide, 250 to 500mg IV
Orbital compartment syndrome
Retinal detachment
Orbital fracture
Globe rupture
Labyrinthitis
Endophthalmitis
Orbital cellulitis
Optic nerve decompression