Section 61
Chapter 60,052

Orbital Emphysema as a Rare Complication of Retina Surgery

Rodríguez-Cabrera, L.; Rodríguez-Loaiza, J.é L.; Tovilla-Canales, J.é L.; Zuazo, F.

Ophthalmic Plastic and Reconstructive Surgery 33(6): E141-E142


ISSN/ISBN: 1537-2677
PMID: 28221293
DOI: 10.1097/iop.0000000000000879
Accession: 060051807

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Three patients with a history of previous pars-plana vitrectomy, 2 of them with perfluoropropane, and 1 with sulfur hexafluoride used, experienced eyelid swelling and pain after travelling to a higher altitude city. Gas was found in the orbit and periocular tissues, causing orbital compartment syndrome in 2 of the patients. The gas persisted on these patients despite surgical intervention, so hyperbaric oxygen therapy was advised. One patient refused, the other patient responded well to this therapy and the gas disappeared. The patient without an orbital compartment syndrome made a full recovery without needing medical or surgical intervention.

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