Orbital Emphysema: A Case Report and Comprehensive Review of the Literature

Roelofs, Kelsey A.; Starks, Victoria; Yoon, Michael K.

doi:10.1097/iop.0000000000001216

Cited by 32 publications

(35 citation statements)

References 86 publications

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“…Permanent visual impairment is possible if associated with severe orbital emphysema. Canthotomy and cantholysis with possible needle decompression may be needed for patients with significant intraorbital air causing vision-threatening orbital compartment syndrome [ 7 ].…”

Section: Discussionmentioning

confidence: 99%

“…While orbital emphysema is most frequently caused by traumatic injuries with acute orbital floor fractures, this is not the rule; multiple creative mechanisms have been described, many related to pressurized air [ 3 - 6 ]. Most cases resolve spontaneously without complication within days to weeks of presentation; however, permanent visual impairment is possible if orbital compartment syndrome occurs and tension is placed on the optic nerve [ 7 ]. In this report, we offer a unique presentation of a patient with a previous orbital floor fracture and new subconjunctival emphysema following a motor vehicle collision with airbag deployment.…”

Section: Introductionmentioning

confidence: 99%

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Late Subconjunctival Emphysema in an Unrepaired Orbital Floor Fracture

Boyer¹,

Filutowski²,

Slonim³

2022

Cureus

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A 42-year-old gentleman with a history of a left orbital floor fracture four years prior presented to the emergency department following a motor vehicle collision. He was without subjective eye concerns, although a physical examination revealed a superior temporal subconjunctival mass with crepitus of the left eye. Visual acuity was 20/20 bilaterally, pupils were reactive without a relative afferent pupillary defect, and extraocular movement was fully intact. A computed tomography scan of the face revealed left-sided subconjunctival, subcutaneous, and orbital emphysema determined to be associated with a previous orbital floor fracture. With no other medical concerns requiring immediate treatment, the patient was offered outpatient repair of the old orbital floor fracture.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Late Subconjunctival Emphysema in an Unrepaired Orbital Floor Fracture

Boyer¹,

Filutowski²,

Slonim³

2022

Cureus

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“…Orbital emphysema is an uncommon cause of OCS 28. It is often seen in the presence of an orbital wall fracture29,30 with a history of trauma followed by coughing, nose blowing or sneezing (Figure 1).…”

Section: Etiologymentioning

confidence: 99%

<p>Orbital Compartment Syndrome: An Update With Review Of The Literature</p>

McCallum¹,

Keren²,

Lapira³

et al. 2019

OPTH

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Orbital compartment syndrome (OCS) is a potentially blinding condition characterized by a rapid increase in intra-orbital pressure. OCS is most commonly seen in the context of intra-orbital hemorrhage secondary to either trauma or surgery. A review of the literature indicates that better visual outcomes are achieved when interventions occur within the first 2 hrs. There are reports of visual recovery after a delay in management and consideration should be given to intervention even when presentation is delayed. Reported interventions include: lateral canthotomy with cantholysis, bony orbital decompression and treatment of the underlying cause.

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“…It is most commonly associated with a history of trauma or orbital wall fracture 1–3 . However, other mechanisms have been reported including infection, pulmonary barotrauma, and iatrogenic factors such as dental surgery 4 . Signs and symptoms include proptosis, crepitus, and diplopia presenting acutely or over the course of days to weeks 5,6 .…”

Section: Introductionmentioning

confidence: 99%

Orbital emphysema as a result of chest tube placement for recurrent pneumothorax

Land

Shin

Kim

2023

Clinical Case Reports

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Orbital emphysema refers to the infiltration of air or gas within the orbital soft tissue space. It is most commonly associated with a history of trauma or orbital wall fracture. [1][2][3] However, other mechanisms have been reported including infection, pulmonary barotrauma, and iatrogenic factors such as dental surgery. 4 Signs and symptoms include proptosis, crepitus, and diplopia presenting acutely or over the course of days to weeks. 5,6 Although orbital emphysema typically follows a benign course and is self-limiting, in severe cases, it can cause vision loss and require immediate intervention to prevent complications associated with orbital compartment syndrome. 2,7 Herein, we present a case report of bilateral orbital emphysema in a single individual after chest tube placement for spontaneous pneumothorax. This case illustrates the potential for dramatic complications of such a procedure

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Orbital Emphysema: A Case Report and Comprehensive Review of the Literature

Abstract: Although there is often a history of trauma in patients presenting with OE, many other underlying etiologies have been reported with several cases occurring spontaneously. As such, OE should be included on the differential for a patient presenting with a sudden onset of orbital signs.

Cited by 32 publications

References 86 publications

Late Subconjunctival Emphysema in an Unrepaired Orbital Floor Fracture

Late Subconjunctival Emphysema in an Unrepaired Orbital Floor Fracture

<p>Orbital Compartment Syndrome: An Update With Review Of The Literature</p>

Orbital emphysema as a result of chest tube placement for recurrent pneumothorax

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