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Year : 2023  |  Volume : 3  |  Issue : 2  |  Page : 503-506

Orbital emphysema: A case series and review of literature

1 Regional Institute of Ophthalmology, Medical College, Kolkata, West Bengal, India
2 Ophthalmology, Regional Institute of Ophthalmology, Medical College, Kolkata, West Bengal, India

Correspondence Address:
Banka A Megha
C/O Anju Kedia, Anmol Kriti, P28A, CIT Road Scheme VIM, Opposite Pantaloons, Kankurgachi, Kolkata - 700 054, West Bengal
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/IJO.IJO_3257_22

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Orbital emphysema (OE) is an uncommon, benign, and self-limiting condition that results from trapping of air in loose periorbital subcutaneous tissues. We report a series of five cases of OE, four post traumatic, and one after forceful nose blowing. They presented with acute periorbital swelling. The clinical diagnosis was confirmed on imaging promptly. They were counseled to keep a keen eye for any signs of deterioration and kept on close follow-up. Some key clinical and radiological clues which indicated a relatively low risk of deterioration were noted, so they were conservatively managed with cold compression, avoidance of nose blowing/sneezing, nasal decongestants, oral antibiotics, and anti-inflammatories. Complete resolution of symptoms occurred within 2–3 weeks. Timely diagnosis, thorough patient counseling, conservative management, close monitoring, and expedient surgical intervention on deterioration are keystones in OE management.

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