Right eye pain
© Springer-Verlag London Ltd 2009
Received: 10 July 2009
Accepted: 5 October 2009
Published: 19 November 2009
Subconjunctival emphysema is a condition that is associated with subcutaneous emphysema due to laxity of the conjunctival tissues. Subconjunctival emphysema could be caused by high-pressure injury without obvious entry . Other combined injuries should also be considered including foreign body penetration, orbital wall fracture, eyeball structure injury, secondary infection, traumatic optic atrophy etc. Initial management usually involves conservative treatment with removal of the foreign body and bandaging of the eye with antibiotic ointment. Urgent emergency needle decompression is indicated when signs of decreased vision and increased IOP are present . However, potential complications of needle decompression such as retrobulbar haemorrhage, sclera perforation and optic nerve damage could occur . The patient should keep away from exposure to low atmospheric pressure such as during air travel to avoid tension pneumo-orbit.
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