Bilateral orbital emphysema from compressed air injury

To describe a patient who developed bilateral subconjunctival and orbital emphysema after an automobile tire explosion. Case report. A 60-year-old man sustained bilateral ocular injury after a tire explosion. Ophthalmic examination disclosed bilateral subconjunctival air, with no visible conjunctiva...

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Bibliographic Details
Published in:American journal of ophthalmology 1999-07, Vol.128 (1), p.103-104
Main Authors: LI, T, MAFEE, M. F, EDWARD, D. P
Format: Article
Language:English
Subjects:
Air
Air Pressure
Biological and medical sciences
Conjunctiva - injuries
Conjunctiva - pathology
Conjunctival Diseases - diagnostic imaging
Conjunctival Diseases - etiology
Conjunctival Diseases - pathology
Emphysema - diagnostic imaging
Emphysema - etiology
Emphysema - pathology
Explosions
Eye Injuries - complications
Humans
Male
Medical sciences
Middle Aged
Ophthalmology
Orbit - injuries
Orbit - pathology
Orbit diseases
Orbital Diseases - diagnostic imaging
Orbital Diseases - etiology
Orbital Diseases - pathology
Tomography, X-Ray Computed
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Summary:To describe a patient who developed bilateral subconjunctival and orbital emphysema after an automobile tire explosion. Case report. A 60-year-old man sustained bilateral ocular injury after a tire explosion. Ophthalmic examination disclosed bilateral subconjunctival air, with no visible conjunctival laceration. Computed tomography showed orbital emphysema, with no evidence of orbital fracture. Follow-up examination 2 weeks after the injury disclosed resolution of the subconjunctival air. Best-corrected visual acuity in the right eye was decreased after the explosion but improved to the baseline level of 20/40 2 weeks after the injury. Subconjunctival and orbital emphysema can occur from high-pressure air injury in the absence of an obvious entry site.
ISSN:0002-9394
1879-1891
DOI:10.1016/S0002-9394(99)00037-9