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Year : 2015  |  Volume : 63  |  Issue : 6  |  Page : 541-542

Bilateral periorbital and cervicofacial emphysema following retinal surgery and fluid gas exchange in a case of inadvertent globe perforation

1 Advanced Eye Hospital and Institute, Mumbai, Maharashtra; Mehta Eye Clinic Pvt. Ltd., Mumbai, Maharashtra, India
2 Mehta Eye Clinic Pvt. Ltd., Mumbai, Maharashtra, India
3 Advanced Eye Hospital and Institute, Mumbai, Maharashtra, India

Correspondence Address:
Dr. Akshay Gopinathan Nair
Ophthalmic Plastic Surgery and Ocular Oncology Services, Advanced Eye Hospital and Institute, 30, The Affaires, Sector 17, Sanpada, Mumbai - 400 705, Maharashtra
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0301-4738.162615

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Surgical emphysema is defined as gas or air trapped in the subcutaneous tissue plane. Here, we report a rare case of bilateral periorbital and cervicofacial subcutaneous emphysema following a vitreoretinal surgery for inadvertent globe perforation during the administration of peribulbar anesthesia. This condition, although self-resolving when restricted to the subcutaneous plane has the potential to spread into deeper tissue planes such as the retropharyngeal space. The presence of crepitus helps to distinguish it from angioneurotic edema. Ophthalmologists must be sensitive to the fact that surgical emphysema can be a very rare, but possible complication of an intraocular surgery following globe perforation.

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