Simultaneous Multicompartmental Emphysema Following Orbital Wall Fracture: A Case Report and Literature Review

Orbital emphysema is a relatively common finding after orbital wall fractures, but the simultaneous presence of orbital, subcutaneous, and subconjunctival emphysema is rare and signals the presence of an underlying orbital wall fracture with possible sinus communication. We present the case of a 21-year-old male who sustained blunt trauma to the left side of his face during an assault, leading to periorbital bruising, subconjunctival emphysema, and a medial orbital wall fracture. Computed tomography confirmed emphysema involving the orbit, subconjunctival space, and subcutaneous tissues, with associated nasal bone fractures. Conservative management with oral antibiotics, topical ocular medications, and avoidance of nose-blowing led to full recovery without sequelae. This case highlights the importance of recognizing subconjunctival emphysema as a potential marker of orbital fractures and supports the role of conservative therapy in uncomplicated presentations.