Orbital emphysema after transcanalicular laser-assisted dacryocystorhinostomy treated with needle decompression.
Por:
Rico Santos E, Campos Mollo E, Cabrera Beyrouti R and Navarro Hernández E
Publicada:
1 oct 2020
Ahead of Print:
8 nov 2019
Resumen:
Orbital emphysema is an abnormal presence of air in the orbit. It usually arises after blunt trauma or periorbital surgery. When it occurs after dacryocystorhinostomy, usually it is reported as a benign condition. We present a case of a severe orbital emphysema secondary to transcanalicular diode laser-assisted dacryocystorhinostomy. The day after the surgery, the examination revealed crepitant periorbital swelling, general restriction of extraocular motility, visual loss and intraocular pressure of more than 70 mmHg. A computed tomography showed a massive orbital emphysema. An emergency decompression, using a 25-gauge needle attached to an empty syringe lacking a plunger was performed, achieving a quick decrease of intraocular pressure and pain and swelling improvement. Then, in this case, orbital decompression by passive airflow using a needle without a plunger was an effective treatment method to resolve a serious orbital emphysema after transcanalicular laser-assisted dacryocystorhinostomy.
Filiaciones:
:
Department of Ophthalmology, Hospital Virgen de los Lirios, Alcoy, Alicante, Spain
:
Department of Ophthalmology, Hospital Virgen de los Lirios, Alcoy, Alicante, Spain
:
Department of Ophthalmology, Hospital Vega Baja, Orihuela, Alicante, Spain
:
Department of Ophthalmology, Hospital Virgen de los Lirios, Alcoy, Alicante, Spain
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