Orbital, subconjunctival, and subcutaneous emphysema after an orbital floor fracture

Orbital, subconjunctival, and subcutaneous emphysema after an orbital floor fracture

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Osama H Ababneh Department of Ophthalmology, The University of Jordan and Jordan University Hospital, Amman, Jordan Abstract: A 16-year-old boy presented to the emergency department with the complaint of a sudden, painful left eye and proptosis after an episode of sneezing.A few hours earlier, he had sustained a blunt trauma to the left orbit as the result of a fistfight.The initial examination showed subcutaneous and subconjunctival i want choo 60ml emphysema.Visual acuity in the left eye was 20/30 (0.

67), the pupils were reactive with no relative afferent pupillary defect, and there were mild limitations in levoduction and supraduction.A slit-lamp examination showed normal anterior and posterior segments with an intraocular kelley coures evansville pressure of 26 mmHg.An orbital computed tomography scan showed orbital, subconjunctival, and subcutaneous emphysema associated with a small fracture of the orbital floor.Following conservative management with broad-spectrum oral antibiotics, a topical antiglaucoma drug, and lubricating eye drops, the patient improved dramatically within one week.

Keywords: emphysema, orbital fracture, trauma.