Visual Recovery after Evacuation of Orbital Emphysema

Orbital emphysema due to orbital trauma is a well-known occurrence. Visual loss due to orbital emphysema, however, is an uncommon phenomenon. A case of unilateral orbital emphysema following door-handle trauma with subsequent proptosis, painful ophthalmoplegia and compressive optic neuropathy result...

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Bibliographic Details
Published in:Orbit (Amsterdam) 2007-01, Vol.26 (4), p.283-285
Main Authors: Chaudhry, Imtiaz A., Al-Amri, Abdulrahman, Shamsi, Farrukh A., Al-Rashed, Waleed
Format: Article
Language:English
Subjects:
Child
compressive optic neuropathy
door-handle trauma
Emphysema - etiology
Emphysema - surgery
Eye Injuries - complications
Humans
Male
ophthalmoplegia
Orbital Diseases - etiology
Orbital Diseases - surgery
Orbital emphysema
Visual Acuity
visual loss
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Summary:Orbital emphysema due to orbital trauma is a well-known occurrence. Visual loss due to orbital emphysema, however, is an uncommon phenomenon. A case of unilateral orbital emphysema following door-handle trauma with subsequent proptosis, painful ophthalmoplegia and compressive optic neuropathy resulting in compromised vision is presented in an 8-year-old male child. Conservative management, including intravenous corticosteroids, failed to resolve the patient's symptoms and compressive optic neuropathy. Surgical intervention to evacuate orbital emphysema resulted in prompt resolution of symptoms, including recovery of vision. A review of the medical literature revealed that only few isolated cases of orbital emphysema with compressive optic neuropathy have been reported previously, with no reports due to door-handle trauma.
ISSN:0167-6830
1744-5108
DOI:10.1080/01676830600987391