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Vol. 91. Issue 3.
Pages 142-144 (March 2016)
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Vol. 91. Issue 3.
Pages 142-144 (March 2016)
Short communication
Diplopia due to barotrauma
Diplopia por barotrauma
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...
E. González-Pastor
Corresponding author
elisagonzalezpastor@gmail.com

Corresponding author.
, F. Fernández-Tresguerres, J. Palomares-Fernández, N. Toledano
Sección oculoplastia, Hospital Universitario de Madrid Norte-Sanchinarro, Madrid, Spain
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Abstract
Case report

A 38-year-old woman who, during a scuba dive at 7m, suffered from eye pain, hyperaemia, and exophthalmos. She was diagnosed with ocular barotrauma with transient diplopia. She was seen in the emergency room 10 days later, with no diplopia, but mild left proptosis. In the computed tomography an image of extraconal occupation is observed in the left orbital roof. The magnetic resonance confirmed an intraorbital hematoma.

Discussion

Ocular barotrauma is usually a benign condition mostly occurring in an inexperienced diver. However, a detailed examination is important to rule out potential vision and life threatening conditions.

Keywords:
Barotrauma
Diplopia
Intraorbital hematoma
Subconjunctival hemorrhagh
Exophthalmos
Resumen
Caso clínico

Mujer de 38 años, que durante una inmersión a 7m presenta dolor ocular, hiperemia y exoftalmos. Fue diagnosticada de barotrauma con diplopia transitoria. Acude a urgencias 10 días después sin diplopia, pero leve exoftalmos izquierdo. En la tomografía computarizada se observa imagen de ocupación extraconal en techo orbitario izquierdo. Posteriormente se realiza una resonancia magnética y se confirma la presencia de hematoma intraorbitario.

Discusión

El barotrauma ocular es normalmente una condición benigna producida en su mayoría por inexperiencia del buceador. Sin embargo, es importante una exploración minuciosa para descartar lesiones potencialmente dañinas para la visión o para la vida.

Palabras clave:
Barotrauma
Diplopia
Hematoma intraorbitario
Exoftalmos
Hemorragia subconjuntival

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