Related Experiment Video
Updated: Aug 2, 2025
06:38
Induction of Ocular Surface Inflammation and Collection of Involved Tissues
Published on: August 4, 2022
2.3K
[A man with swollen eyelids].
Anton R Boersma1,2, Wim G Boersma3
1Canisius Wilhelmina Ziekenhuis, afd. Longgeneeskunde, Nijmegen.
Nederlands Tijdschrift Voor Geneeskunde
|April 13, 2023
Summary
A patient developed severe periorbital emphysema after lung surgery. The condition was successfully treated by draining the air through small skin punctures, relieving pain and visual impairment.
Area of Science:
- Thoracic Surgery
- Pulmonary Medicine
- Ophthalmology
Context:
- Video-assisted thoracoscopy is a minimally invasive surgical technique for lung procedures.
- Periorbital emphysema, the presence of air in the tissues around the eye, can be a rare complication of thoracic surgery.
- Severe symptoms like pain and visual impairment necessitate prompt management.
Purpose:
- To report a case of severe periorbital emphysema following video-assisted thoracoscopy for lung malignancy.
- To describe the successful management of this rare complication through conservative measures.
Summary:
- A 74-year-old male patient presented with severe periorbital emphysema post-video-assisted thoracoscopy for lung cancer.
- Symptoms included significant pain and visual impairment, indicating the severity of the air accumulation.
- The condition was managed by evacuating the subcutaneous emphysema via bilateral punctures and manual air mobilization.
Impact:
- This case highlights a rare but potentially serious complication of video-assisted thoracoscopy.
- It underscores the importance of recognizing and managing periorbital emphysema promptly to prevent vision loss.
- The described conservative management approach offers a minimally invasive option for similar cases.
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