A case of orbital emphysema as an ocular emergency

Amber A. Dobler, Aaron L. Nathenson, J. Douglas Cameron, Emmett T. Carpel, Alvina M. Janda, Jonathan E. Pederson

Research output: Contribution to journalArticlepeer-review

32 Scopus citations


Orbital emphysema is radiologically apparent in 50% of cases of orbital fractures, but it is generally a benign, self-limited condition. However, visual loss may occur if a fracture produces orbital compression via a ball-valve effect, allowing air to enter but not leave the orbit. A case of compressive orbital emphysema complicated by ischemic optic neuropathy is reported. Intraorbital needle aspiration relieved the compression with improvement of visual acuity and normalization of intraocular pressure.

Original languageEnglish (US)
Pages (from-to)166-168
Number of pages3
Issue number2
StatePublished - Jan 1 1993


  • Diplopia
  • Fracture
  • Orbital emphysema
  • Proptosis

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