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Case Reports in Emergency Medicine
Volume 2014, Article ID 347868, 3 pages
Case Report

The Management of Gas-Filled Eyes in the Emergency Department

1Tennent Institute of Ophthalmology, Gartnavel General Hospital, 1053 Great Western Road, Glasgow G12 0YN, UK
2Monklands Hospital, Monkscourt Avenue, Airdrie, North Lanarkshire ML6 0JS, UK
3Lutheran Hospital, Fort Wayne, IN 46804, USA
4Indiana University School of Medicine, Fort Wayne, IN 46202, USA

Received 8 September 2014; Accepted 17 November 2014; Published 26 November 2014

Academic Editor: Michael Sand

Copyright © 2014 Lik Thai Lim et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Background. Intraocular gas bubbles are commonly used in retinal surgery. There are specific management guidelines that need to be followed to ensure surgical success, and there are also unique ophthalmic and systemic complications that can occur in such patients. Objective. To educate emergency department personnel about important issues in the management of patients who have a gas-filled eye following retinal surgery. Case Report. A patient with a gas-filled eye developed several complications including pain, severe vision loss, high-grade atrioventricular (AV) block, and pneumocephalus. Conclusion. Awareness of potential problems that may arise in patients with gas-filled eyes who present to the emergency department may help minimize morbidity for such patients.