Procedure: Lateral Canthotomy

A simplified approach to the initial assessment and management of emergency department patients with retro-orbital hematoma requiring emergent lateral canthotomy


A 21 year old man was minding his own business on a street corner, when out of nowhere two dudes just jumped him. His primary injury appears to be to his right eye. He is complaining of a lot of eye pain and blurred vision. On exam, you note proptosis and an afferent pupillary defect. The opthamologist is covering at another hospital and is at least an hour away, but suggests you go ahead with the lateral canthotomy…

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