Letter to the Editor: Drainage of Retrobulbar Hematoma Using a 14G Intravenous Catheter

Dear Editor, Retrobulbar hematoma (RBH) is one of the most feared causes of orbital compartment syndrome. It may arise secondary to trauma, vascular malformations, or as a complication of surgery [1-4]. Its incidence following blepharoplasty is approximately 0.055% [5]. The primary concern in RBH is vision loss resulting from intra- and extraocular compression of the optic nerve [6,7]. Prompt orbital decompression is therefore a true ophthalmologic emergency [7,8]. The established management for achieving this is lateral orbital canthotomy and cantholysis (LOCC) [8,9]. Patients treated within two hours of onset generally have a better prognosis regarding visual acuity [10].