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, Trivet 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 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 pressure of 26 mmHg.

An orbital computed tomography scan showed orbital, Nail Polish Remover 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.