잠시만 기다려 주세요. 로딩중입니다.

압축공기에 의한 수상으로 안와기종과 뇌기종이 발생한 1예

Orbital Emphysema and Pneumocephalus Caused by Compressed Air Injury

대한안과학회지 2020년 61권 6호 p.672 ~ 675
김리브가 ( Kim Rebecca ) - Soonchunhyang University Gumi Hospital Department of Ophthalmology

Abstract


Purpose: To report a case of orbital emphysema and pneumocephalus after exposure to compressed air.

Case summary: A 49-year-old male visited our medical center after his left eye was damaged by a compressed air gun in an industrial setting. During the anterior segment examination, swelling of the left periorbital area, crepitation, and tenderness were observed in the upper and lower eyelids. On slit-lamp examination, there was a 12 mm conjunctival laceration in the temporal area, subconjunctival hemorrhage, multiple subconjunctival air bubbles, and microhyphema in the anterior chamber. A computed tomography scan of the head and orbit showed subcutaneous and intraorbital emphysema and pneumocephalus. Primary closure of the lacerated conjunctiva was performed. The patient was prescribed systemic and topical antibiotics with bed rest. Four days after the trauma, microhyphema and swelling of the eyelids were decreased significantly. Six days after the trauma, there were improvements of orbital emphysema and pneumocephalus without any complications. In summary, we report a rare case of orbital emphysema and pneumocephalus caused by compressed air.

Conclusions: Orbital emphysema and pneumocephalus can occur due to compressed air injury in the absence of orbital wall fracture

키워드

Compressed air injury; Emphysema; Orbit; Pneumocephalus
원문 및 링크아웃 정보
  
등재저널 정보
KCI
KoreaMed
KAMS