J Korean Ophthalmol Soc > Volume 54(1); 2013 > Article
Journal of the Korean Ophthalmological Society 2013;54(1):180-183.
DOI: https://doi.org/10.3341/jkos.2013.54.1.180    Published online January 15, 2013.
Orbital Emphysema Causing Eye Movement Restriction Without Orbital Fractures Due to Compressed Air Injury.
Yun Jung, Ho Seok Moon, Jee Woong Jung, Mi Jung Chi
1Department of Ophthalmology, Gachon University Gil Medical Center, Gachon University of Medicine and Science, Incheon, Korea. cmj@gilhospital.com
2Osan Bright Eye Clinic, Osan, Korea.
압축공기에 수상 후 안와골절 없이 안구운동제한 소견을 보인 안와기종 1예
정 윤1⋅문호석1⋅정지웅2⋅지미정1
Department of Ophthalmology, Gachon University Gil Medical Center, Gachon University of Medicine and Science1, Incheon, Korea
Osan Bright Eye Clinic2, Osan, Korea
Abstract
PURPOSE
The authors experienced a case of orbital emphysema causing eye movement disorder following conjunctival tear without any orbital wall fractures after exposure to compressed air. CASE SUMMARY: A 28-year-old man's left periorbital area was injured while working with compressed air. There was marked lid swelling on the left side with palpable crepitus. The patient had an exotropia and hypertropia of the left eye. In addition, the extraocular movement of the left eye was restricted on upgaze without nausea and vomiting. On slit-lamp examination, conjunctival partial laceration and subconjunctival air bubbles adjacent to the conjunctival laceration could be seen. Orbital computed tomography showed air in the periorbital and retrobulbar region of the left eye and no evidence of orbital fracture. On examination 4 days after the primary repair of the conjunctival laceration, the patient completely recovered without any complication. CONCLUSIONS: Orbital emphysema following a conjunctival laceration caused by compressed air without any orbital wall fractures can cause restriction of eye movement.
Key Words: Compressed air;Conjunctival laceration;Orbital emphysema


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