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KMID : 0360220130540010180
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Journal of the Korean Ophthalmological Society
2013 Volume.54 No. 1 p.180 ~ p.183
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Orbital Emphysema Causing Eye Movement Restriction Without Orbital Fractures Due to Compressed Air Injury
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Jung Yun
Moon Ho-Seok
Jung Jee-Woong
Chi Mi-Jung
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Abstract
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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.
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KEYWORD
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Compressed air, Conjunctival laceration, Orbital emphysema
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