Case ReportsOrbital, Periorbital, and Intracranial Emphysema Caused by Compressed Air Injury in a 5-Year-Old ChildBagheri, Abbas M.D.*,†; Veisi, Amirreza M.D.*,†; Memarzade, Sayed Ezatollah M.D.*,†; Tavakoli, Mehdi M.D.*,‡ Author Information *Ocular Tissue Engineering Research Center †Ophthalmic Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran ‡Bascom Palmer Eye Institute, University of Miami Miller School of Medicine, Miami, Florida, U.S.A. Accepted for publication May 3, 2018. The authors have no financial or conflicts of interest to disclose. Address correspondence and reprint request to Mehdi Tavakoli, M.D., Labbafinejad Medical Center, Boostan 9 Street Pasdaran Avenue, Tehran 16666, Iran. E-mail: [email protected] Ophthalmic Plastic and Reconstructive Surgery: September/October 2018 - Volume 34 - Issue 5 - p e151-e153 doi: 10.1097/IOP.0000000000001165 Buy Metrics AbstractIn Brief A 5-year-old boy was accidentally injured by a compressed air blast to his right eye and developed periorbital and subconjunctival emphysema and proptosis subsequently. CT scan showed periorbital subcutaneous and intraorbital emphysema around the right eye, as well as intracranial and cervical emphysema without frank fractures in orbital bones. He was examined under sedation, and the subconjunctival air was aspirated. He was also prophylactically treated with topical and systemic antibiotics to prevent infection. Emphysema was resorbed entirely within 3 weeks. In conclusion, compressed air injury can occur in a child and manifest with orbital and periorbital emphysema without any detectable fracture and any clear entrance site and may need emergent management to save the vision or upper respiratory airways. The authors present a case of a child with exposure to compressed air blast and presentation with extensive emphysema of the orbit, intracranial space, and facial soft tissues. He was treated with aspirating the air using a syringe needle. © 2018 The American Society of Ophthalmic Plastic and Reconstructive Surgery, Inc.