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Orbital Emphysema as a Rare Complication of Retina Surgery

2017; Lippincott Williams & Wilkins; Volume: 33; Issue: 6 Linguagem: Inglês

10.1097/iop.0000000000000879

1537-2677

Lourdes Rodríguez-Cabrera, José Luis Rodríguez-Loaiza, José Luis Tovilla-Canales, Francisca Zuazo,

Ocular Surface and Contact Lens

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.