Jens Heichel, Gesine Lehmann, Arne Viestenz, Alexander Eckert, Waldemar Reich, Birgit Scheffler
{"title":"[Acute compression of the optic nerve due to orbital emphysema].","authors":"Jens Heichel, Gesine Lehmann, Arne Viestenz, Alexander Eckert, Waldemar Reich, Birgit Scheffler","doi":"10.1007/s00347-019-01025-0","DOIUrl":null,"url":null,"abstract":"<p><p>Bony defects of the orbit with connection to the paranasal sinuses can lead to orbital emphysema. A case of compression of the optic nerve due to orbital emphysema in a 39-year-old man is reported. Visual acuity was hand movements only and intraocular pressure was increased to 32 mm Hg with an exophthalmus of 6 mm in comparison to the unaffected side. A sufficient pressure relief could be achieved by canthotomy with cantholysis and radial peritomy.</p>","PeriodicalId":11105,"journal":{"name":"Der Ophthalmologe","volume":"26 1","pages":"1037-1040"},"PeriodicalIF":0.0000,"publicationDate":"2020-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Der Ophthalmologe","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1007/s00347-019-01025-0","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
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Abstract
Bony defects of the orbit with connection to the paranasal sinuses can lead to orbital emphysema. A case of compression of the optic nerve due to orbital emphysema in a 39-year-old man is reported. Visual acuity was hand movements only and intraocular pressure was increased to 32 mm Hg with an exophthalmus of 6 mm in comparison to the unaffected side. A sufficient pressure relief could be achieved by canthotomy with cantholysis and radial peritomy.
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