Orbital emphysema as an ophthalmologic emergency

Area of Science:

• Ophthalmology
• Trauma Surgery

Background:

• Orbital emphysema is typically benign and self-resolving.
• Facial trauma, particularly orbital fractures, can lead to air entering the orbital space.

Observation:

• Two male patients (33 and 28 years old) presented with visual loss.
• The visual loss was attributed to orbital emphysema with a ball-valve effect, causing high intraorbital pressure.

Findings:

• A ball-valve effect in an orbital fracture can impede air egress, leading to increased intraorbital pressure.
• Successful treatment was achieved through lateral canthotomy and cantholysis, relieving the pressure.

Implications:

• This intervention can prevent permanent vision loss in cases of severe orbital emphysema.
• Highlights the importance of recognizing and managing this potentially sight-threatening complication of orbital fractures.