{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T03:49:26Z","timestamp":1777520966430,"version":"3.51.4"},"reference-count":13,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2010,9,1]],"date-time":"2010-09-01T00:00:00Z","timestamp":1283299200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"},{"start":{"date-parts":[[2010,9,1]],"date-time":"2010-09-01T00:00:00Z","timestamp":1283299200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"}],"content-domain":{"domain":["clinicalkey.fr","clinicalkey.jp","clinicalkey.es","clinicalkey.com.au","wemjournal.org","clinicalkey.com","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Wilderness &amp; Environmental Medicine"],"published-print":{"date-parts":[[2010,9]]},"abstract":"<jats:p> Only a few cases of nontraumatic orbital subperiosteal hematoma due to scuba diving have been reported, and this is the first of such cases that underwent surgical intervention. This injury results from negative pressure within the face mask, suctioning orbital tissues into the mask after incomplete equilibration of pressure on descent. Valsalva maneuver is a second mechanism implicated in the etiology of this injury. Recognition of this injury is of the utmost importance because vision loss is a possible complication if there is compression of the optic nerve or increased intraocular pressure. In many cases of nontraumatic orbital hematoma, conservative management is adequate; however, this case was an exception due to worsening exam findings. Divers may be able to prevent this injury by frequent and gentle equilibration of mask pressure on descent. <\/jats:p>","DOI":"10.1016\/j.wem.2010.06.003","type":"journal-article","created":{"date-parts":[[2011,1,19]],"date-time":"2011-01-19T10:23:43Z","timestamp":1295432623000},"page":"250-252","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":10,"title":["Orbital Subperiosteal Hematoma From Scuba Diving"],"prefix":"10.1177","volume":"21","author":[{"given":"Clark","family":"Rosenberry","sequence":"first","affiliation":[{"name":"Department of Emergency Medicine, Madigan Army Medical Center, Fort Lewis, Washington, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matthew","family":"Angelidis","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine, Madigan Army Medical Center, Fort Lewis, Washington, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Diane","family":"Devita","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine, Madigan Army Medical Center, Fort Lewis, Washington, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2010,9,1]]},"reference":[{"key":"bibr1-jwem201006003","author":"Letham E.","year":"2008","journal-title":"J Emerg Med"},{"key":"bibr2-jwem201006003","doi-asserted-by":"publisher","DOI":"10.1097\/00004728-198805010-00031"},{"key":"bibr3-jwem201006003","doi-asserted-by":"publisher","DOI":"10.1080\/01676830500505715"},{"key":"bibr4-jwem201006003","first-page":"31","volume":"28","author":"Butler N.K.","year":"2001","journal-title":"Undersea Hyperb Med"},{"key":"bibr5-jwem201006003","first-page":"104","volume":"77","author":"Wolter J.R.","year":"1979","journal-title":"Trans Am Ophthalmol Soc"},{"key":"bibr6-jwem201006003","first-page":"136","volume":"13","author":"Wolter J.R.","year":"1976","journal-title":"J Pediatr Ophthalmol"},{"key":"bibr7-jwem201006003","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9394(85)90696-8"},{"key":"bibr8-jwem201006003","first-page":"45","volume":"45","author":"Katz R.S.","year":"1981","journal-title":"J Clin Neuroophthalmol"},{"key":"bibr9-jwem201006003","first-page":"106","volume":"116","author":"Boyer M.M.","year":"1998","journal-title":"Arch Ophthalmol"},{"key":"bibr10-jwem201006003","first-page":"105","volume":"116","author":"Hunt K.E.","year":"1998","journal-title":"Arch Ophthalmol"},{"key":"bibr11-jwem201006003","doi-asserted-by":"publisher","DOI":"10.1016\/S0161-6420(00)00482-6"},{"key":"bibr12-jwem201006003","first-page":"423","volume":"18","author":"Kersten R.C.","year":"1987","journal-title":"Ophthalmic Surg"},{"key":"bibr13-jwem201006003","first-page":"203","volume":"12","author":"Gillurn W.N.","year":"1981","journal-title":"Ophthalmic Surg"}],"container-title":["Wilderness &amp; 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Published by Elsevier Inc. All rights reserved.","name":"copyright","label":"Copyright"}]}}