Traumatic orbital emphysema: a case report

A 30-year-old male presented with sudden diminution of vision, orbital pain, diplopia, and swelling of the eyelid of the right eye after blowing his nose within three days after a blunt ocular trauma. His best-corrected visual acuities were 6/10 in the right eye and 10/10 in the left eye. Anterior segment and fundus examination were normal bilaterally. Limitation of upward ocular motility was noticed in the right eye. Diplopia was detected in both upward and downward motilities. Intraocular pressures were 21 mmHg in OD and 16 mmHg in OS. Hertel exophthalmometry measurements were 21 mm for the right eye and 19 mm for the left eye. The direct computerized tomography image displayed the inferior orbital wall fracture and orbital emphysema in the right orbit. Prophylactic antibiotherapy was applied. The patient was advised not to blow his nose. He had no complaints on the third day after the trauma. Follow-up examinations showed no ophthalmological complications.

Bir olgu nedeniyle, travmatik orbital amfizemlere yaklaþým

Otuz yaþýnda erkek hasta, sümkürme sonrasý sað gözde geliþen, ani aðrý, þiþme, az görme ve çift görme þikayetleri ile baþvurdu. Üç gün önce künt orbital travma hikayesi olan hastanýn görmesi saðda 6/10, solda 10/10 idi. Ön segment ve fundus incelemesinde özellik saptanmadý. Sað gözünde yukarý bakýþ kýsýtlýlýðý tespit edildi. Yukarý ve aþaðý bakýþlarý sýrasýnda diplopi mevcuttu. Göz içi basýncý saðda 21 mmHg, solda 16 mmHg idi. Hertel ekzoftalmometre deðerleri saðda 21 mm, solda 19 mm idi. Orbital bilgisayarlý tomografi incelemesinde sað inferior orbital duvar kýrýðý ve orbital amfizem saptandý. Proflaktik antibiyotik tedavisi baþlandý. Üçüncü gün kontrolünde herhangi bir þikayeti bulunmayan hasta intranazal basýnç artýþýna neden olabilecek uygulamalardan kaçýnmasý konusunda uyarýldý. Takipte herhangi bir patolojik bulgu ortaya çýkmadý.