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Updated: May 25, 2026
08:18
Three-Dimensional Reconstruction of Orbital Fractures
Published on: May 16, 2025
[Traumatic orbital emphysema: a case report].
Ersin Oba1, Can Pamukcu, Serkan Erdenöz
1Department of Ophthalmology, Şişli Etfal Training and Research Hospital, İstanbul, Turkey.
Summary
A blunt ocular trauma led to an inferior orbital wall fracture and orbital emphysema. Prompt management, including antibiotics and avoiding nose blowing, resulted in a full recovery with no ophthalmological complications.
Area of Science:
- Ophthalmology
- Trauma Surgery
Background:
- Orbital fractures can occur following blunt trauma.
- Orbital emphysema, the presence of air in orbital tissues, is a potential complication.
Observation:
- A 30-year-old male experienced sudden vision loss, orbital pain, and diplopia after blunt ocular trauma and nose blowing.
- Clinical examination revealed limited upward ocular motility and diplopia.
- CT imaging confirmed an inferior orbital wall fracture and orbital emphysema in the right eye.
Findings:
- The patient presented with symptoms consistent with an orbital fracture.
- Computed tomography (CT) is crucial for diagnosing orbital wall fractures and associated orbital emphysema.
- Conservative management, including prophylactic antibiotics and avoiding nose blowing, was effective.
Implications:
- This case highlights the importance of recognizing and managing orbital fractures, even after seemingly minor trauma.
- Conservative treatment can be successful for isolated orbital floor fractures with minimal displacement.
- Patient education on avoiding activities that increase intraorbital pressure is vital for preventing complications.
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