Assessment of Orbital Compartment Pressure: A Comprehensive Review.

Enz, Tim J; Tschopp, Markus (2022). Assessment of Orbital Compartment Pressure: A Comprehensive Review. Diagnostics, 12(6) MDPI 10.3390/diagnostics12061481

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The orbit is a closed compartment defined by the orbital bones and the orbital septum. Some diseases of the orbit and the optic nerve are associated with an increased orbital compartment pressure (OCP), e.g., retrobulbar hemorrhage or thyroid eye disease. Our aim was to review the literature on the different approaches to assess OCP. Historically, an assessment of the tissue resistance provoked by the retropulsion of the eye bulb was the method of choice for estimating OCP, either by digital palpation or with specifically designed devices. We found a total of 20 articles reporting direct OCP measurement in animals, cadavers and humans. In nine studies, OCP was directly measured in humans, of which five used a minimally invasive approach. Two groups used experimental/custom devices, whilst the others applied commercially available devices commonly used for monitoring the compartment syndromes of the limbs. None of the nine articles on direct OCP measurements in humans reported complications. Today, OCP is mainly estimated using clinical findings considered surrogates, e.g., elevated intraocular pressure or proptosis. These diagnostic markers appear to reliably indicate elevated OCP. However, particularly minimally invasive approaches show promises for direct OCP measurements. In the future, more sophisticated, specifically designed equipment might allow for even better and safer measurements and hence facilitate the diagnosis and monitoring of orbital diseases.

Item Type:

Journal Article (Review Article)

Division/Institute:

04 Faculty of Medicine > Department of Head Organs and Neurology (DKNS) > Clinic of Ophthalmology

UniBE Contributor:

Tschopp, Markus

Subjects:

600 Technology > 610 Medicine & health

ISSN:

2075-4418

Publisher:

MDPI

Language:

English

Submitter:

Pubmed Import

Date Deposited:

27 Jun 2022 09:09

Last Modified:

05 Dec 2022 16:21

Publisher DOI:

10.3390/diagnostics12061481

PubMed ID:

35741290

Uncontrolled Keywords:

minimally invasive measurement orbital compartment pressure orbital compartment syndrome thyroid eye disease

BORIS DOI:

10.48350/170918

URI:

https://boris.unibe.ch/id/eprint/170918

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