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Year : 2016  |  Volume : 6  |  Issue : 2  |  Page : 93-95

Needle decompression in a patient with vision-threatening orbital emphysema

1 Department of Ophthalmology, Taipei Veterans General Hospital and National Yang-Ming University, Taipei 11217, Taiwan, ROC
2 Department of Ophthalmology, Koo Foundation Sun Yat-Sen Cancer Center, Taipei 112, Taiwan, ROC

Correspondence Address:
Chieh-Chih Tsai
Department of Ophthalmology, Taipei Veterans General Hospital, Number 201, Section 2, Shih-Pai Road, Taipei 11217, Taiwan
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Source of Support: None, Conflict of Interest: None

DOI: 10.1016/j.tjo.2015.02.003

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Orbital emphysema is a condition resulting from trapping of air in loose subcutaneous or orbital tissues from the paranasal sinuses. This condition commonly seen in patients with a history of periorbital trauma or surgery, especially following sneezing or nose blowing. It usually has a benign and self-limited course. However, the entrapped orbital air can cause a substantial increase in pressure with restricted ocular motility or vascular compromise and become severe enough to cause visual impairment. We herein present the case of a patient who developed severe orbital emphysema after blunt trauma followed by sneezing and was successfully treated with needle decompression of intraorbital air. Emergency needle decompression resulted in an improvement in vision and intraocular pressure.

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