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[Sight-threatening orbital emphysema after nose blowing: case report]
Bruno de Albuquerque Furlani1, Bruno Diniz, Luis Gustavo Bitelli
1Pronto Socorro de Oftalmologia, Hospital São Paulo, Universidade Federal de São Paulo, SP, Brasil.
Abstract:
Orbital emphysema is the abnormal presence of air in the orbit. Occurrence in the absence of orbital fracture is rare. We report a case of a 40-year-old female presenting unilateral orbital emphysema after vigorous nose blowing. She developed sudden visual loss as a result of elevated intraocular pressure and urgent treatment was required. She underwent an orbital decompression, performed using a 24-gauge needle puncture adjacent to the supraorbital notch. After treatment, she reported considerable decrease of symptoms.
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