Tension pneumocephalus and bilateral orbital compartment syndrome relieved by lateral canthotomies

Emergency Decompression of Orbital Emphysema, a Sight-Saving Tool in a Patient With Precious Eye

“…Imaging is of paramount importance to demonstrate the pattern and site of air pockets and also tenting of the posterior globe at the attachment of the optic nerve, implying extreme orbital tension and the risk to optic nerve compressive neuropathy. 7…”

“…Features that might suggest concern include intense proptosis, elevated intraocular pressure (IOP) with retinal vascular pulsation, restricted ocular motility, afferent pupillary defect, and loss of vision. Imaging is of paramount importance to demonstrate the pattern and site of air pockets and also tenting of the posterior globe at the attachment of the optic nerve, implying extreme orbital tension and the risk to optic nerve compressive neuropathy 7 …”