Avulsion of Globe Following Maxillofacial Trauma

Santos, Thiago de Santana; Vajgel, André; Ribeiro, Cyntia Ferreira; Júnior, José Ricardo de Santana; Filho, Ewerton Santos Andrade

doi:10.1097/scs.0b013e318252d25c

Cited by 7 publications

(11 citation statements)

References 20 publications

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“…Isolated anterior luxation of eye ball without optic nerve avulsion occurs when a blunt wedge insinuates between the supero medial orbit and the eye ball, causing the eye to ‘pop’ out and the eyelids to squeeze shut behind the globe. These objects are encountered in daily life like as bike handle, 7 gift wrapping tube, 8 door handle, etc 9 . The second mechanism is a coup- contre coup injury which is commonly associated with craniofacial trauma.…”

Section: Discussionmentioning

confidence: 99%

Traumatic eye ball luxation: A stepwise approach to globe salvage

Gupta

Natarajan

Vaidya

et al. 2017

Saudi Journal of Ophthalmology

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Craniofacial trauma is often associated with orbital and ocular injuries. We report a case of a 21-year-old male with motor vehicular accident, orbital roof blow-in fracture, cerebrospinal fluid (CSF) leak, and left sided globe luxation with corneal abrasion and complete conjunctival denuding. The patient was managed by a multispeciality team and the eyeball was protected by amniotic membrane graft (AMG) biological dressing with novel use of inverted sterile metallic bowl as mechanical protection till the patient stabilized. During surgery, eyeball was reposited and ocular surface was reconstructed using amniotic membrane and symblepharon ring. Surgical correction and plating of the facial fractures and dural repair with autologus tensor fascia lata was done. Post surgery ocular surface was intact, ocular motility was well preserved and the globe was prephthisical. Traumatic eyeball luxation is a rare, but dramatic presentation which may occur in a blow in fracture when the intra orbital volume reduces and expels the eye ball out of the socket. This may be associated with extra ocular muscle rupture or optic nerve avulsion. The visual prognosis is nil in majority cases. However, the management is targeted towards globe preservation in view of psychological benefit and ease of cosmetic or prosthetic rehabilitation. Knowing the mechanism of luxation helps to plan the management. A stepwise approach for globe salvage is recommended. Team efforts to take care of various morbidities with special steps to safeguard the eye help to optimize outcomes.

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Section: Discussionmentioning

confidence: 99%

Traumatic eye ball luxation: A stepwise approach to globe salvage

Gupta

Natarajan

Vaidya

et al. 2017

Saudi Journal of Ophthalmology

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“…Brain and orbital CT are required to exclude intracranial bleeding, optic chiasma injury, and bone fractures. [6] Some authors have reported normal CT images in the presence of optic nerve avulsion.…”

Section: Discussionmentioning

confidence: 99%

“…[1] Cases with intact extraocular muscles have been reported. [2][3][4][5][6] The extraocular muscles injured and avulsed most commonly are the medial, inferior, superior, and lateral recti and the obliques, respectively. [7] Imaging studies of the head and orbit are advisable before surgery to assess the extent of orbital and ocular injuries.…”

Section: Discussionmentioning

confidence: 99%

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A Rarely Seen Complication Of Motor Vehicle Accidents: Bilateral Globe Avulsion

Kelahmetoğlu

Şịmşek

Beden

et al. 2015

Ulus Travma Acil Cerrahi Derg

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“…It is classified as incomplete avulsion, when it affects only the optic nerve, and complete avulsion, when it involves the optic nerve and the extraocular muscles 2,3 .…”

Section: Introductionmentioning

confidence: 99%

Post-traumatic eyeball luxation

Munayco-Guillén¹,

Muro-Mansilla²,

Velasco-Stoll³

et al. 2020

RMOE

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Eyeball luxation is an uncommon complication of high-impact trauma to the face, orbit, or skull. This is the case of a 20-yearold male who suffered an accident while driving a motorcycle drunk. He points out that he hit his face and his right eye. He denies losing consciousness, but he notices sudden loss of vision in the right eye. Physical examination revealed eyeball luxation from the orbit, with disinsertion of the medial and inferior rectus muscle. Visual acuity was no light perception in his right eye. He has a history of craniotomy due to a prior head injury 4 years ago. A computed tomography showed eyeball absence in the right orbit, without fracture or cerebral edema. In the operating room, an eyeball luxation was confirmed, with partial section of the extraocular muscles and complete avulsion of the optic nerve. We describe several mechanisms that may explain the eyeball luxation.

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Avulsion of Globe Following Maxillofacial Trauma

Cited by 7 publications

References 20 publications

Traumatic eye ball luxation: A stepwise approach to globe salvage

Traumatic eye ball luxation: A stepwise approach to globe salvage

A Rarely Seen Complication Of Motor Vehicle Accidents: Bilateral Globe Avulsion

Post-traumatic eyeball luxation

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