Abstract
Orbital emphysema due to barotrauma is rare ocular emergency which is usually benign but can cause serious visual complications if not timely recognized. We report a case of orbital emphysema in 34-years-old male presented with sudden onset of right periorbital swelling after forceful blowing of the nose. There was no history of facial trauma or previous surgery. Examination of the patient revealed crepitant eyelid swelling and ptosis but no visual impairment or diplopia was seen. Otorhinolaryngologic examination revealed clotted blood in right nasal cavity. Computerized tomography demonstrated areas of emphysema in the right orbit. Patient was managed conservatively with favorable outcome. The purpose of this presentation is to stress the recognition of rare possibility of orbital emphysema in the absence of trauma as timely intervention can prevent vision loss.
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