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[Orbito-palpebral emphysema due to ethmoidal fracture]
A Bergua1, E Wolter-Roessler, B Tomandl
1Augenklinik mit Poliklinik, Universität Erlangen-Nürnberg, Erlangen. antonio.bergua@augen.imed.uni-erlangen.de
Abstract
Background:
Orbito-palpebral emphysema is a frequent pathological entity due to head injury. We report on a patient and correlate the clinical view and computer tomography findings.
Case Report:
A 17-year-old male was referred to our hospital after a blunt trauma to his head. Visual acuity was 1,0. Diplopia, restricted motility and exophthalmus about 4 mm were found.
Conclusion:
If swelling of the lid is found orbito-palpebral emphysema should be thought of to initiate appropriate therapy to avoid possible severe complications, for example, occlusion of the retinal central artery.