Related Experiment Video
Updated: Dec 8, 2025
08:18
Three-Dimensional Reconstruction of Orbital Fractures
Published on: May 16, 2025
507
Post periorbital carboxytherapy orbital emphysema: a case report
Mansooreh Jamshidian-Tehrani1,2, Sima Sheikhghomi2, Abolfazl Kasaee1
1Orbital and Oculoplastic Surgery, Farabi Eye Hospital, Tehran University of Medical Sciences, Tehran, Iran.
Orbit (Amsterdam, Netherlands)
|September 17, 2020
Summary
Periorbital carboxytherapy, a cosmetic procedure, can lead to orbital emphysema. This case report details a patient who developed this condition after the treatment, highlighting a rare complication.
Area of Science:
- Ophthalmology
- Dermatology
- Cosmetic Procedures
Background:
- Periorbital carboxytherapy involves injecting sterile carbon dioxide into the subcutaneous tissue for facial rejuvenation.
- The procedure is assumed to enhance blood supply and tissue repair in the periorbital area.
Observation:
- A 24-year-old woman experienced acute bilateral orbital emphysema one day post-cosmetic periorbital carboxytherapy.
- Physical examination revealed non-tender, non-erythematous swelling of the eyelids with palpable crepitus.
- Visual acuity and pupillary response were normal, but orbital CT confirmed preseptal emphysema extending into the orbital space.
Findings:
- The patient was treated with oral prednisolone 50 mg daily.
- Symptoms of periorbital pain and swelling gradually resolved within one week.
- The case demonstrates a rare but significant complication of periorbital carboxytherapy.
Implications:
- Orbital emphysema is a potential risk associated with periorbital carboxytherapy.
- Close monitoring and prompt management are crucial for patients experiencing adverse effects.
- This case underscores the importance of patient education regarding the risks of non-surgical cosmetic procedures.
