Fístula liquórica traumática com luxação de globo ocular: relato de caso

Bettega, Ronaldo Brandão de Proença; Cruz, Antônio Augusto Velasco e

doi:10.1590/s0004-27492011000100014

Arq. Bras. Oftalmol.

2011

DOI: 10.1590/s0004-27492011000100014

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Fístula liquórica traumática com luxação de globo ocular: relato de caso

Ronaldo Brandão de Proença Bettega¹,

Antônio Augusto Velasco e Cruz²

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Cited by 7 publications

References 9 publications

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Traumatic Globe Luxation Associated with Orbital Fracture in a Child: A Case Report and Literature Review

Amaral¹,

Carvalho

Ferreira

et al. 2013

J. Maxillofac. Oral Surg.

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Orbital fracture associated with traumatic globe luxation is rare, as it generally requires trauma with high energy for this to occur. The present case report focused on a child who had been hit by a motorcycle, leading to a globe luxation of the left eye and fractures of the superolateral orbital walls. The patient presented initial cosmetic and psychological benefits from the repositioning of the intact globe and the reduction of the orbital fractures. However, a subsequent evisceration of the globe was required due to persistent proptosis and pain. An ocular prosthesis was also implanted, thus recovering the patient's aesthetics. Thirty-four well-documented cases of traumatic globe luxation could be found in the English literature since 1970. The mean age of patients presenting traumatic globe luxation was 29.5 years. The male gender proved to be more prevalent, with traffic collisions representing the most common accident etiology. Direct orbital trauma with fractures of medial and floor walls displacing the globe into the maxillary sinus represented the most common injury mechanism (38.2 %), followed by an elongated object entering the orbit (26.5 %). Optical nerve avulsion is the most serious complication seen in association with traumatic globe luxation, with the repositioning of the initial globe, with no enucleation or evisceration, representing the main form of management.

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Traumatic Globe Luxation Associated with Orbital Fracture in a Child: A Case Report and Literature Review

Amaral¹,

Carvalho

Ferreira

et al. 2013

J. Maxillofac. Oral Surg.

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Diagnosis and Surgical Management of Traumatic Cerebrospinal Fluid Oculorrhea: Case Report and Systematic Review of the Literature

et al. 2013

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Background Oculorrhea, or cerebrospinal fluid leakage developing from a cranio-orbital fistula, is a rare development following traumatic injury.Case Report A 22-year-old man involved in a motor vehicle accident developed a blowout fracture of the left orbital roof penetrating the frontal lobe, inducing oculorrhea. He underwent a supraorbital craniotomy for removal of the bony fragment and skull base reconstruction using a pericranial flap.Methods A systematic review of the database was performed to identify all prior cases of traumatic oculorrhea.Results Twenty-two reported cases met inclusion criteria for subsequent analysis. Oculorrhea developed due to blunt and penetrating head injury in 14 (64%) and 8 patients (36%), respectively. The most common mechanisms were car accidents, stab wounds, falls, and gunshot wounds. Ocular signs and symptoms—including visual loss, ophthalmoplegia, and pupillary dysfunction—were commonly associated findings. Initial conservative management was successful in four patients. Thirteen patients underwent initial surgical intervention, and three additional patients required operative intervention following failed conservative treatment.Conclusion Although oculorrhea rarely develops following severe orbital trauma, suspicion should nevertheless be maintained to facilitate more prompt diagnosis and management. The decision for conservative versus surgical management often depends on the severity of the fracture and dural injury.

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Traumatic avulsion of the globe with optic nerve transection: an unusual presentation

et al. 2020

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Complete globe extrusion, whether traumatic or spontaneous, is a rare clinical entity and if associated with optic nerve avulsion, it has a worse visual outcome, though repositioning of the globe may be attempted. We report a case of road traffic accident, wherein the patient presented with an extrusion of the globe, along with a complete transection of the optic nerve, about 4 cm from the optic nerve head, with only a residual attachment to the orbital rim via the unsevered lateral conjunctival flap, where the enucleation was completed and the conjunctiva was sutured.

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Fístula liquórica traumática com luxação de globo ocular: relato de caso

Cited by 7 publications

References 9 publications

Traumatic Globe Luxation Associated with Orbital Fracture in a Child: A Case Report and Literature Review

Traumatic Globe Luxation Associated with Orbital Fracture in a Child: A Case Report and Literature Review

Diagnosis and Surgical Management of Traumatic Cerebrospinal Fluid Oculorrhea: Case Report and Systematic Review of the Literature

Traumatic avulsion of the globe with optic nerve transection: an unusual presentation

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