Enfisema orbitário compressivo após asseio nasal: relato de caso

Furlani, Bruno; Diniz, Bruno; Bitelli, Luis Gustavo; Martins, Elisabeth Nogueira

doi:10.1590/s0004-27492009000200024

Cited by 8 publications

(6 citation statements)

References 9 publications

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“…Intraocular pressure is often used as a surrogate for intraorbital pressure. Documented IOP in all previously reported cases of orbital emphysema (both traumatic and nontraumatic) requiring emergency decompression ranged from 20 to over 100 mmHg (Table 1) 3 Case Reports in Ophthalmological Medicine [30][31][32][33][34][35][36][37][38]. As such, our case highlights that while raised IOP can act as a surrogate measure to inform the decision for urgent orbital decompression, a normal measurement does not exclude optic nerve compromise.…”

Section: Discussionmentioning

confidence: 85%

Recurrent Self-Induced Nontraumatic Orbital Emphysema Causing Orbital Compartment Syndrome with Optic Nerve Dysfunction

Cutting

Davies-Husband

Poitelea³

2021

Case Reports in Ophthalmological Medicine

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The majority of cases of orbital emphysema are due to trauma. Complications are rare, and therefore, the need for surgical intervention is uncommon. We present the first case of which we are aware in which nontraumatic orbital emphysema led to orbital compartment syndrome and subsequent optic nerve dysfunction. The patient underwent emergency needle decompression. A 51-year-old man presented to the Emergency Department with right-sided unilateral proptosis, reduced visual acuity, and binocular diplopia. This occurred after performing a Valsalva manoeuvre with no history of head trauma. He also mentioned that over the past year he had experienced multiple episodes of transient proptosis occurring after Valsalva manoeuvres. Visual acuity in the right eye was reduced to 6/21. A relative afferent pupillary defect was present and intraocular pressure (IOP) was 12 mmHg. The CT scan showed significant orbital emphysema in the medial aspect of the right orbit. Needle decompression was performed resulting in immediate resolution of his symptoms. This case demonstrates that, in cases of orbital emphysema, a lack of a history of trauma and a normal IOP cannot always be used to rule out serious pathology.

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Section: Discussionmentioning

confidence: 85%

Recurrent Self-Induced Nontraumatic Orbital Emphysema Causing Orbital Compartment Syndrome with Optic Nerve Dysfunction

Cutting

Davies-Husband

Poitelea³

2021

Case Reports in Ophthalmological Medicine

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“…O enfisema orbitário é uma situação clínica incomum, onde há presença de ar na órbita. A causa mais comum envolve o traumatismo contuso da órbita com fratura da parede óssea medial (1,2). O diagnóstico pode ser obtido através de anamnese, exame físico e exames de imagem (tomografia de órbitas).…”

Section: Introductionunclassified

“…Costuma ser um quadro benigno, auto-limitado, com resolução espontânea. Alguns casos podem evoluir de modo desfavorável, constituindo uma síndrome compartimental orbitária, sendo necessária intervenção imediata para preservação da acuidade visual (1,2). Neste trabalho, relata-se um caso de enfisema orbitário iniciado após episódio de violência doméstica, o qual ocasionou fratura orbitária identificada na tomografia de órbitas.…”

Section: Introductionunclassified

“…Orbital emphysema is an unusual clinical situation, where air is present in the orbit. The most common cause involves blunt trauma to the orbit with fracture of the medial bone wall (1,2). The diagnosis can be obtained through anamnesis, physical examination and imaging exams (orbit tomography).…”

Section: Introductionmentioning

confidence: 99%

“…It is usually a benign, self-limiting condition, with spontaneous resolution. Some cases may develop in an unfavorable way, constituting an orbital compartment syndrome, requiring immediate intervention to preserve visual acuity (1,2). We report a case of orbital emphysema started after an episode of domestic violence, which caused an orbital fracture identified in the orbit tomography.…”

Section: Introductionmentioning

confidence: 99%

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