Sudden transient complete loss of vision caused by nose blowing after a fracture of the orbital floor.
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.
Harmer
S G
SG
Department of Oral & Maxillofacial Surgery, Queen Alexandra Hospital, Portsmouth, PO6 3LY, UK.
Ethunandan
M
M
Zaki
G A
GA
Brennan
P A
PA
D000086:Acetazolamide / Q000008:administration & dosage; D000893:Anti-Inflammatory Agents / Q000008:administration & dosage; D001766:Blindness / Q000188:drug therapy / Q000209:etiology*; D002257:Carbonic Anhydrase Inhibitors / Q000008:administration & dosage; D003907:Dexamethasone / Q000008:administration & dosage; D004646:Emphysema / Q000150:complications* / Q000188:drug therapy / Q000209:etiology; D006801:Humans; D007275:Injections, Intravenous; D008297:Male; D008875:Middle Aged; D009296:Nasal Cavity / Q000503:physiopathology*; D009916:Orbital Diseases / Q000150:complications* / Q000188:drug therapy / Q000209:etiology; D009917:Orbital Fractures / Q000150:complications*; D011312:Pressure / Q000009:adverse effects; D015051:Zygomatic Fractures / Q000150:complications
D000893:Anti-Inflammatory Agents; D002257:Carbonic Anhydrase Inhibitors; D003907:Dexamethasone; D000086:Acetazolamide