Management of orbital emphysema secondary to rhegmatogenous retinal detachment repair with hyperbaric oxygen therapy
Purpose: To describe the case of orbital subcutaneous emphysema who was successfully treated with hyperbaric oxygen therapy. Observations: Case report. Retrospective analysis of medical records and computer tomography images. A 40 years-old female, with retinal detachment who was seen at the emergen...
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| Format: | Article |
| Language: | English |
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Elsevier
2016-04-01
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| Series: | American Journal of Ophthalmology Case Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2451993615300384 |
| _version_ | 1819231831308894208 |
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| author | Dante L. Iniesta-Sanchez Fatima Romero-Caballero Adriana Aguirre-Alvarado Victoria Rebollo-Hurtado Raul Velez-Montoya |
| author_facet | Dante L. Iniesta-Sanchez Fatima Romero-Caballero Adriana Aguirre-Alvarado Victoria Rebollo-Hurtado Raul Velez-Montoya |
| author_sort | Dante L. Iniesta-Sanchez |
| collection | DOAJ |
| description | Purpose: To describe the case of orbital subcutaneous emphysema who was successfully treated with hyperbaric oxygen therapy.
Observations: Case report. Retrospective analysis of medical records and computer tomography images. A 40 years-old female, with retinal detachment who was seen at the emergency department, two weeks after undergoing a combined procedure of pars plana vitrectomy, scleral buckle and Sulfur hexafluoride tamponade. The patient complained of pain, decrease eye movement and edema of the upper eyelid. Clinical examination revealed periorbital crepitus. She was treated immediately with soft tissue decompression with small-gauge needle. Orbital emphysema recurred quickly, indicating possible gas trapped in the soft tissue. Using the US NAVY decompression protocol we were able to achieve fast clinical improvement. The protocol was repeated in several occasions until complete resolution.
Conclusion and importance: Hyperbaric oxygen therapy is an effective treatment for orbital and periorbital emphysema, due to its property of helping accelerate N2 elimination from adipose tissue. |
| first_indexed | 2024-12-23T11:51:13Z |
| format | Article |
| id | doaj.art-28c9bf6eed4744a2bc2073e2bb7613fe |
| institution | Directory Open Access Journal |
| issn | 2451-9936 |
| language | English |
| last_indexed | 2024-12-23T11:51:13Z |
| publishDate | 2016-04-01 |
| publisher | Elsevier |
| record_format | Article |
| series | American Journal of Ophthalmology Case Reports |
| spelling | doaj.art-28c9bf6eed4744a2bc2073e2bb7613fe2022-12-21T17:48:12ZengElsevierAmerican Journal of Ophthalmology Case Reports2451-99362016-04-011C263010.1016/j.ajoc.2016.03.002Management of orbital emphysema secondary to rhegmatogenous retinal detachment repair with hyperbaric oxygen therapyDante L. Iniesta-Sanchez0Fatima Romero-Caballero1Adriana Aguirre-Alvarado2Victoria Rebollo-Hurtado3Raul Velez-Montoya4Ophthalmology Department, Hospital Central Militar, Army and Air Force University, México DF, MexicoOphthalmology Department, Hospital Central Militar, Army and Air Force University, México DF, MexicoCritic Care Unit, Hospital Central Militar, Army and Air Force University, México DF, MexicoRadiology Department, Hospital Central Militar, Army and Air Force University, México DF, MexicoRetina Department, Asociación para Evitar la Ceguera en México “Hospital Dr. Luis Sánchez Bulnes” IAP, Mexico City, MexicoPurpose: To describe the case of orbital subcutaneous emphysema who was successfully treated with hyperbaric oxygen therapy. Observations: Case report. Retrospective analysis of medical records and computer tomography images. A 40 years-old female, with retinal detachment who was seen at the emergency department, two weeks after undergoing a combined procedure of pars plana vitrectomy, scleral buckle and Sulfur hexafluoride tamponade. The patient complained of pain, decrease eye movement and edema of the upper eyelid. Clinical examination revealed periorbital crepitus. She was treated immediately with soft tissue decompression with small-gauge needle. Orbital emphysema recurred quickly, indicating possible gas trapped in the soft tissue. Using the US NAVY decompression protocol we were able to achieve fast clinical improvement. The protocol was repeated in several occasions until complete resolution. Conclusion and importance: Hyperbaric oxygen therapy is an effective treatment for orbital and periorbital emphysema, due to its property of helping accelerate N2 elimination from adipose tissue.http://www.sciencedirect.com/science/article/pii/S2451993615300384Gas tamponadeHyperbaric oxygen therapySubcutaneous emphysemaCompartment syndromeSurgical complications |
| spellingShingle | Dante L. Iniesta-Sanchez Fatima Romero-Caballero Adriana Aguirre-Alvarado Victoria Rebollo-Hurtado Raul Velez-Montoya Management of orbital emphysema secondary to rhegmatogenous retinal detachment repair with hyperbaric oxygen therapy American Journal of Ophthalmology Case Reports Gas tamponade Hyperbaric oxygen therapy Subcutaneous emphysema Compartment syndrome Surgical complications |
| title | Management of orbital emphysema secondary to rhegmatogenous retinal detachment repair with hyperbaric oxygen therapy |
| title_full | Management of orbital emphysema secondary to rhegmatogenous retinal detachment repair with hyperbaric oxygen therapy |
| title_fullStr | Management of orbital emphysema secondary to rhegmatogenous retinal detachment repair with hyperbaric oxygen therapy |
| title_full_unstemmed | Management of orbital emphysema secondary to rhegmatogenous retinal detachment repair with hyperbaric oxygen therapy |
| title_short | Management of orbital emphysema secondary to rhegmatogenous retinal detachment repair with hyperbaric oxygen therapy |
| title_sort | management of orbital emphysema secondary to rhegmatogenous retinal detachment repair with hyperbaric oxygen therapy |
| topic | Gas tamponade Hyperbaric oxygen therapy Subcutaneous emphysema Compartment syndrome Surgical complications |
| url | http://www.sciencedirect.com/science/article/pii/S2451993615300384 |
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