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Large subconjunctival emphysema causing diplopia and lagophthalmos.

I Kaiserman1

  • 1Department of Ophthalmology, Hadassah University Hospital, Jerusalem, Israel. Igork@cc.huji.ac.il

European Journal of Ophthalmology
|March 15, 2003
PubMed
Summary

A large subconjunctival emphysema from compressed air injury caused temporary vision loss, double vision (diplopia), and eyelid issues (lagophthalmos). Symptoms resolved within two weeks, highlighting the impact of subconjunctival emphysema on ocular health.

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Area of Science:

  • Ophthalmology
  • Trauma Surgery

Background:

  • Subconjunctival emphysema is a rare condition characterized by the presence of air in the conjunctival space.
  • Ocular trauma, particularly from high-pressure air, can lead to significant complications.

Observation:

  • A 24-year-old male presented with diplopia and pain after a compressed air hose injury to the left eye.
  • Examination revealed decreased visual acuity, conjunctival laceration, subconjunctival hemorrhage, and a large subconjunctival emphysema.

Findings:

  • The patient exhibited lagophthalmos, hypertropia, and superficial punctate keratopathy.
  • Computed tomography confirmed the emphysema but showed intact orbital bones and posterior pole.

Implications:

  • Large subconjunctival emphysema can cause significant, albeit temporary, visual disturbances including diplopia and exposure keratopathy.

Related Experiment Videos

  • Prompt diagnosis and management of subconjunctival emphysema are crucial for visual recovery.
  • This case underscores the potential severity of seemingly minor ocular trauma involving compressed air.