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Updated: May 18, 2026
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Three-Dimensional Reconstruction of Orbital Fractures
Published on: May 16, 2025
Diesel fuel injury to the orbit
Michael P Rabinowitz1, Scott M Goldstein
1Oculoplastic and Orbital Surgery Service, Wills Eye Institute, Philadelphia, PA 19107, USA. rabinowm@gmail.com
Ophthalmic Plastic and Reconstructive Surgery
|October 5, 2012
Summary
A severe facial injury from a diesel fuel explosion caused vision loss due to chemical cellulitis and orbital compartment syndrome. Prompt management is crucial for orbital chemical injuries.
Area of Science:
- Ophthalmology
- Toxicology
- Emergency Medicine
Background:
- Orbital injuries can result from high-energy impacts and chemical exposures.
- Diesel engine fuel contains complex hydrocarbons with potential for severe tissue damage.
Observation:
- A 48-year-old man presented with acute orbital symptoms after a diesel fuel cylinder explosion.
- Clinical findings included proptosis, restricted extraocular motility, and elevated intraocular pressure.
- CT imaging revealed orbital hypodense areas consistent with fuel infiltration.
Findings:
- Despite aggressive medical and surgical management, including orbitotomies, complete evacuation of diesel fuel was not achieved.
- The patient developed intense chemical cellulitis, leading to orbital compartment syndrome and optic neuropathy.
- Progressive vision loss occurred secondary to the severe orbital insult.
Implications:
- This case underscores the significant morbidity associated with orbital chemical injuries from industrial accidents.
- The prognosis for such injuries can be poor, even with prompt and aggressive intervention.
- Highlights the need for specialized management protocols for severe chemical orbital trauma.
