Sudden transient complete loss of vision caused by nose blowing after a fracture of the orbital floor

Br J Oral Maxillofac Surg. 2007 Mar;45(2):154-5. doi: 10.1016/j.bjoms.2005.06.008. Epub 2005 Jul 18.

Abstract

A 52-year-old man was being attended to in a hospital for a fracture of the right zygoma and orbital floor, after being struck on the right upper face. After blowing his nose, he immediately lost vision in the right eye, and an urgent CT scan showed extensive retrobulbar air. Vision was regained within an hour. The management of this rare condition is discussed.

Publication types

  • Case Reports

MeSH terms

  • Acetazolamide / administration & dosage
  • Anti-Inflammatory Agents / administration & dosage
  • Blindness / drug therapy
  • Blindness / etiology*
  • Carbonic Anhydrase Inhibitors / administration & dosage
  • Dexamethasone / administration & dosage
  • Emphysema / complications*
  • Emphysema / drug therapy
  • Emphysema / etiology
  • Humans
  • Injections, Intravenous
  • Male
  • Middle Aged
  • Nasal Cavity / physiopathology*
  • Orbital Diseases / complications*
  • Orbital Diseases / drug therapy
  • Orbital Diseases / etiology
  • Orbital Fractures / complications*
  • Pressure / adverse effects
  • Zygomatic Fractures / complications

Substances

  • Anti-Inflammatory Agents
  • Carbonic Anhydrase Inhibitors
  • Dexamethasone
  • Acetazolamide