Traumatic dislocation of the globe into the maxillary sinus

Müller‐Richter, Urs; Kohlhof, J.K.; Driemel, Oliver; Wagener, H.-H.; Reichert, Torsten E.

doi:10.1016/j.ijom.2007.05.017

Cited by 12 publications

(12 citation statements)

References 11 publications

(6 reference statements)

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“…Severe injuries with sufficient force can disrupt this soft tissue protection and cause the globe to herniate or subluxate. [ 1 2 3 4 5 6 7 8 ] Review of the literature revealed 25 cases of traumatic globe dislocation into the sinuses, only eight of whom regained complete or partial vision[ 1 2 3 4 5 6 7 8 ] [ Table 1 ].…”

Section: Discussionmentioning

confidence: 99%

“…Review of the literature yielded 25 such cases with only eight patients reporting complete or partial visual recovery. [ 1 2 3 4 5 6 7 8 ] We report a case of traumatic globe dislocation with partial visual recovery. We also reviewed the literature for the mechanism of injury, timing of surgical intervention, and final visual outcome in cases of traumatic globe dislocation.…”

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confidence: 99%

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Timing of surgery in traumatic globe dislocation

Alam

Noronha²,

Mukherjee

2017

Indian J Ophthalmol

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Traumatic globe dislocation into the maxillary sinus is a rare event and usually associated with a poor visual outcome if not managed appropriately. We report a 45-year-old female patient who presented to the emergency after blunt injury to her face with a door. Initial evaluation revealed nil perception of light and an apparently anophthalmic socket. Neuroimaging revealed large floor and medial wall fracture with dislocation of the globe into the maxillary sinus. The patient underwent exploration with repositioning of the globe and fracture repair. She was also administered 1 g intravenous methylprednisolone along with tapering course of oral steroids for 3 days. Patient's final visual acuity at 18 months of follow-up improved to counting fingers at 1 m. A thorough review of the literature suggests immediate surgery might improve the final visual outcome in such cases.

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Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

Timing of surgery in traumatic globe dislocation

Alam

Noronha²,

Mukherjee

2017

Indian J Ophthalmol

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“…Traumatic globe luxation can be divided in two types: (1) when the globe is displaced forward the orbit [1][2][3][4][5][6][7][8][9][10][11][12][13][14]; and (2) when the globe is displaced into the paranasal sinuses [15][16][17][18][19][20][21][22][23][24][25][26][27][28][29][30].…”

Section: Discussionmentioning

confidence: 99%

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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“…3 The use of a Caldwell-Luc approach has been previously reported. 1,3,11,15 The advantages of the Caldwell-Luc antrostomy include the increased exposure and the ability to use an inferior vector to reposition the globe. An orbital reconstructive mesh with a PTFE coating was used in our patient to restore the disrupted orbital floor.…”

Section: Discussionmentioning

confidence: 99%

“…Blunt trauma to the periocular region [1][2][3][4][5][6] can result in fractures to the orbital floor without causing damage to the globe itself. An orbital blowout fracture will act similar to a pressure valve in that the force of the blow to the eye, in addition to being absorbed by the adnexal structures of the globe, will also be absorbed by the bony rupture of the medial orbital wall, the orbital floor, and compression of air within the paranasal sinuses.…”

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confidence: 99%