In this episode, Dr. Shyam Murali discusses the often overlooked aspect of vision threats in emergency medicine, highlighting the importance of recognizing Orbital Compartment Syndrome. Using a case example, he elaborates on the clinical presentation, signs, symptoms, and management of this condition, emphasizing the crucial role of emergency physicians in its diagnosis and treatment. Dr. Murali also provides practical tips, pearls, and pitfalls for managing Orbital Compartment Syndrome effectively, stressing the significance of early consultation with ophthalmology and thorough documentation of physical exams. Additionally, he cautions against over-reliance on imaging and emphasizes the time-sensitive nature of this condition.