Orbital compartment syndrome following aneurysm surgery

Andrew J. Gauden*, Thomas Hardy, Heather G. MacK, Helen V. Danesh-Meyer, Andrew H. Kaye

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

10 Citations (Scopus)


Orbital compartment syndrome (OCS) is a rare cause of blindness following intracranial surgery. We report a patient with OCS following intracranial cerebrovascular surgery precipitated by severe straining. OCS occurred due to a rapid increase in intraorbital pressure within the rigid confines of the orbit causing hypoperfusion of critical neural structures, which resulted in visual loss and a complete external ophthalmoplegia. Treatment involved urgent surgical soft tissue decompression of the orbit, corticosteroids and osmotic agents. It is important to consider OCS as a cause of blindness in the neurosurgical postoperative setting as without rapid treatment this condition has a very poor prognosis.

Original languageEnglish
Pages (from-to)1032-1036
Number of pages5
JournalJournal of Clinical Neuroscience
Issue number7
Publication statusPublished - Jul 2012
Externally publishedYes


  • cerebrovascular surgery
  • craniotomy
  • orbital compartment syndrome
  • visual failure


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