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Orbital Emphysema Occurring During Weight Lifting
1a Department of Ophthalmology , Zekai Tahir Burak Women's Health Education and Research Hospital , Ankara , Turkey.
Seminars in Ophthalmology
|January 31, 2014
Summary
Orbital emphysema can occur without orbital fractures, as seen in a weightlifter experiencing periorbital swelling. This condition resolved quickly with conservative treatment, highlighting a non-fracture-related cause.
Area of Science:
- Ophthalmology
- Emergency Medicine
- Radiology
Background:
- Orbital emphysema, the presence of air in the orbital tissues, is typically associated with orbital fractures and paranasal sinus communication.
- While often linked to trauma, spontaneous or exertion-induced cases without fractures are less common but documented.
Observation:
- A 23-year-old male presented with acute left periorbital swelling and palpable crepitus after weight lifting.
- Clinical examination revealed subcutaneous emphysema and conjunctival congestion.
- Computed tomography (CT) of the orbit excluded any evidence of fracture.
Findings:
- The patient received conservative management including empiric antibiotics and non-steroidal anti-inflammatory drugs.
- Significant resolution of periorbital swelling and crepitus occurred within three days.
- Complete resolution of orbital emphysema was observed within seven days.
Implications:
- This case underscores that orbital emphysema can manifest without associated orbital fractures, potentially triggered by forceful exertion like weight lifting.
- Conservative management appears effective for non-traumatic, non-fracture-related orbital emphysema.
- Recognition of this presentation is crucial for accurate diagnosis and appropriate, non-surgical treatment, avoiding unnecessary interventions for fractures.
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