• Am. J. Ophthalmol. · Jul 1999

    Case Reports

    Bilateral orbital emphysema from compressed air injury.

    • T Li, M F Mafee, and D P Edward.
    • Department of Ophthalmology, University of Illinois at Chicago, 60612, USA.
    • Am. J. Ophthalmol. 1999 Jul 1;128(1):103-4.

    PurposeTo describe a patient who developed bilateral subconjunctival and orbital emphysema after an automobile tire explosion.MethodCase report.ResultsA 60-year-old man sustained bilateral ocular injury after a tire explosion. Ophthalmic examination disclosed bilateral subconjunctival air, with no visible conjunctival laceration. Computed tomography showed orbital emphysema, with no evidence of orbital fracture. Follow-up examination 2 weeks after the injury disclosed resolution of the subconjunctival air. Best-corrected visual acuity in the right eye was decreased after the explosion but improved to the baseline level of 20/40 2 weeks after the injury.ConclusionSubconjunctival and orbital emphysema can occur from high-pressure air injury in the absence of an obvious entry site.

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