Learning Objectives:

1. Orbital compartment syndrome is a clinical diagnosis and there are many etiologies

2. Additional imaging such as CT scan may be useful in determining cause after initial clinical assessment is done

3. Canthotomy/cantholysis may not be enough to relieve pressure and additional surgical management may be indicated including bony decompression and removal of intra=orbita foreign body

4. Establish a differential diagnosis for spontaneous multi-layer retinal hemorrhage

5.  Identify the prognostic value of retinal hemorrhages n leukemia

6.  Identify the relationship between anemia/thrombocytopenia and retinal hemorrhages