Bir olgu nedeniyle, travmatik orbital amfizemlere yakla��m

Oba, Ersin; Pamukcu, Can; Erden�z, Serkan

Cilt : 17 Say� : 6 Y�l : 2024

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Bir olgu nedeniyle, travmatik orbital amfizemlere yakla��m [Ulus Travma Acil Cerrahi Derg]

Ulus Travma Acil Cerrahi Derg. 2011; 17(6): 570-572 | DOI: 10.5505/tjtes.2011.79069

Bir olgu nedeniyle, travmatik orbital amfizemlere yakla��m

Ersin Oba, Can Pamukcu, Serkan Erden�z
�i�li Etfal E�itim Ve Ara�t�rma Hastanesi 2. G�z Klini�i

Otuz ya��nda erkek hasta, s�mk�rme sonras� sa� g�zde geli�en, ani a�r�, �i�me, az g�rme ve �ift g�rme �ikayetleri ile ba�vurdu. �� g�n �nce k�nt orbital travma hikayesi olan hastan�n g�rmesi sa�da 6/10, solda 10/10 idi. �n segment ve fundus incelemesinde �zellik saptanmad�. Sa� g�z�nde yukar� bak�� k�s�tl�l�� tespit edildi. Yukar� ve a�a�� bak��lar� s�ras�nda diplopi mevcuttu. G�z i�i bas�nc� sa�da 21 mmHg, solda 16 mmHg idi. Hertel ekzoftalmometre de�erleri sa�da 21 mm, solda 19 mm idi. Orbital bilgisayarl� tomografi incelemesinde sa� inferior orbital duvar k�r�� ve orbital amfizem saptand�. Proflaktik antibiyotik tedavisi ba�land�. ��nc� g�n kontrol�nde herhangi bir �ikayeti bulunmayan hasta intranazal bas�n� art��na neden olabilecek uygulamalardan ka��nmas� konusunda uyar�ld�. Takipte herhangi bir patolojik bulgu ortaya ��kmad�.

Anahtar Kelimeler: Inferior orbital duvar k�r��, orbital amfizem; orbital travma.

Traumatic orbital emphysema: a case report

Ersin Oba, Can Pamukcu, Serkan Erden�z
Department Of Ophthalmology, Si�li Etfal Training And Research Hospital, Istanbul

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.

Keywords: Inferior orbital wall fracture, orbital emphysema; orbital trauma.

Sorumlu Yazar: Ersin Oba, T�rkiye
Makale Dili: T�rk�e

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