Needle decompression in a patient with vision-threatening or
Orbital emphysema is a condition resulting from trapping of air in loose subcutaneous or orbital tissues from the paranasal sinuses. This condition is commonly seen in patients with a history of periorbital trauma or surgery, especially following sneezing or nose blowing.

It usually has a benign and self-limited course. However, the entrapped orbital air can cause a substantial increase in pressure with restricted ocular motility or vascular compromise and become severe enough to cause visual impairment.

Published in the Taiwan Journal of Ophthalmology, the authors present the case of a patient who developed severe orbital emphysema after blunt trauma followed by sneezing and was successfully treated with needle decompression of intraorbital air. Emergency needle decompression resulted in an improvement in vision and intraocular pressure.

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