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.