Sudden onset nonaxial proptosis and diplopia is alarming and orbital haemorrhage or a rapidly expanding orbital tumour should be excluded. We present a case of a young man aged 15 years who attended the Accident and Emergency Department with a 6-h history of sudden onset proptosis and diplopia in whom the aetiology was orbital emphysema.
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Article Synopsis
- A young female patient presented to the emergency department with atraumatic orbital emphysema, a condition characterized by air in the orbit without a traumatic cause.
- Diagnosis was confirmed using point-of-care ultrasound and a CT scan, and the patient was managed with an expectant approach since most cases usually improve on their own.
- Atraumatic orbital emphysema is more common in women with a history of chronic sinusitis or facial surgery, but while most resolve without intervention, some can lead to serious complications like orbital compartment syndrome, which might need surgical intervention.
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