What are the contraindications for lateral canthotomy and cantholysis?

Updated: Jun 11, 2020
  • Author: Anna G Gushchin, MD; Chief Editor: Edsel B Ing, MD, MPH, FRCSC, PhD, MA  more...
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Answer

Answer

Suspected globe rupture is a relative contraindication to lateral canthotomy. Signs of globe rupture include hyphema; a peaked, teardrop-shaped, or otherwise irregularly shaped pupil; exposed uveal tissue, which appears brownish; and extraocular movement restriction that is greatest in the direction of the rupture. Subtle signs of globe rupture include subconjunctival hemorrhage, enophthalmos, or a conjunctival laceration. For more information, see Medscape Reference article Globe Rupture.


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