Acute orbital compartment syndrome (OCS) is a clinical diagnosis
Vision loss can be permanent after 60-100 min of ischemia - do not delay procedure for imaging
Trauma (retrobulbar hematoma) - most common cause
Spontaneous bleed
Tumor
Orbital cellulitis/abscess
Prolonged hypoxemia
Canthotomy
Cerumen removal
Iridodialysis
Hydrocortisone topical
Triamcinolone acetonide
Ciclesonide
Extracorporeal membrane oxygenation
Desonide