Conclusion
Orbital emphysema is a rare complication of chest tube insertion in the
setting of pneumothorax. It usually has a benign, transient course.
However, because severe orbital emphysema is associated with significant
morbidity secondary to orbital compartment syndrome, rapid diagnosis and
intervention is crucial. Review of the literature presents several
reports with techniques for management. The present case highlights the
need for thorough evaluation for orbital emphysema in the setting of
chest tube insertion for pneumothorax; doing so prevents vision
loss.