Orbital, subcutaneous, and subconjunctival emphysema following blow-out medial wall fracture

Orbital, subcutaneous, and subconjunctival emphysema following blow-out medial wall fracture

Ahmed A.1, Waris A.2, Rizvi S.A.1 , Haque O.I.1
1 MS Ophthalmology, Institute of Ophthalmology, Jnmch, AMU, Aligarh.
2 MS, Fico(UK), Fics(USA), Frcs(Glasg), Frcs(Edin), VR faculty, Institute of Ophthalmology, Jnmch, AMU, Aligarh.

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A 40-year-old male presented to the emergency department with the complaint of a sudden, painful left eye and swelling after episodes of sneezing. A day earlier, he had sustained a blunt trauma to the left orbit as the result of a fall from motorcycle. The initial examination showed subcutaneous and subconjunctival emphysema. Visual acuity in the left eye was 20/40 (0.50), the pupils were reactive with no relative afferent pupillary defect, and there were limitations in levoduction, dextroduction, infraduction and supraduction. A slit-lamp examination revealed normal anterior and posterior segments with an intraocular pressure of 24mmHg. An orbital computed tomography scan showed orbital, subconjunctival, and subcutaneous emphysema associated with a small fracture of medial wall of the left eye. Following conservative management with broad-spectrum oral antibiotics, a topical antiglaucoma drug, low dose systemic steroid drug, and lubricating eye drops, the patient improved dramatically within one week.

Keywords: emphysema, orbital fracture, trauma

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How to cite this article:
Ahmed A., Waris A., Rizvi S.A. , Haque O.I. Orbital, subcutaneous, and subconjunctival emphysema following blow-out medial wall fracture. International Journal of Case Reports, 2019 4:60. DOI: 10.28933/ijcr-2019-01-1208


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