| Orbital emphysema. Staging and acute management. | |
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MedLine Citation:
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PMID: 8190488 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Orbital emphysema is usually a benign, transient phenomenon. Rarely, the intraorbital air mass can cause central retinal artery occlusion. Because of the potential for severe visual loss, the rapid diagnosis and management of this condition are essential. Currently, there is no standard protocol for the treatment and management of severe orbital emphysema. To develop a management algorithm, the authors reviewed the records of eight patients with orbital emphysema, in addition to nine other reported patients with ocular dysfunction. METHODS: Retrospective review of patients with orbital emphysema who have proptosis, diplopia, or loss of vision. RESULTS: Orbital emphysema is associated with small orbital fractures. The location of the intraorbital air mass usually correlates with the fracture location. A four-stage classification system of orbital emphysema is developed. This staging system is helpful in constructing an acute diagnostic and management algorithm for orbital emphysema. CONCLUSION: Understanding the pathophysiology of orbital emphysema is important in developing a rational approach to manage this potentially sight-threatening condition. Treatment using a needle-coupled open syringe filled with saline allows direct monitoring of the air mass during decompression. |
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Authors:
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J H Hunts; J R Patrinely; J B Holds; R L Anderson |
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Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: Ophthalmology Volume: 101 ISSN: 0161-6420 ISO Abbreviation: Ophthalmology Publication Date: 1994 May |
Date Detail:
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Created Date: 1994-06-20 Completed Date: 1994-06-20 Revised Date: 2006-11-15 |
Medline Journal Info:
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Nlm Unique ID: 7802443 Medline TA: Ophthalmology Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 960-6 Citation Subset: IM |
Affiliation:
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Department of Ophthalmology, Cullen Eye Institute, Baylor College of Medicine, Houston, TX 77030. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Diplopia / etiology Emphysema / classification*, etiology, therapy* Exophthalmos / etiology Eye Injuries / complications Female Humans Intraocular Pressure Male Middle Aged Orbital Diseases / classification*, etiology, therapy* Orbital Fractures / etiology Retrospective Studies Tomography, X-Ray Computed Visual Acuity |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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