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Bilateral traumatic globe luxation with optic nerve transection.

Tok L, Tok OY, Argun TC, Yilmaz O, Gunes A, Unlu EN, Sezer S, Ibisoglu S, Argun M - Case Rep Ophthalmol (2014)

Bottom Line: The right pupil was dilated and bilaterally did not react to light.The globes of the patient were bilaterally reduced into the orbit.Even if the luxated globe is repositioned into the orbit, there is still an increased risk of the development of phthisis due to ischemia.

View Article: PubMed Central - PubMed

Affiliation: Department of Ophthalmology, Faculty of Medicine, Süleyman Demirel University, Isparta, Burdur, Turkey.

ABSTRACT

Purpose: The purpose of this study was to document clinical findings and management of a patient with bilateral globe luxation and optic nerve transection.

Materials and methods: A 25-year-old female patient was admitted to the emergency department with bilateral traumatic globe luxation following a motor vehicle accident.

Results: Visual acuity testing showed no light perception. The right pupil was dilated and bilaterally did not react to light. The globes were bilaterally intact. A computed tomography scan revealed Le Fort type II fractures, bilateral optic nerve transection and disruption of all extraocular muscles. The globes of the patient were bilaterally reduced into the orbit. However, the patient developed phthisis bulbi in the right eye at month 3.

Conclusion: Globe luxation presents a dramatic clinical picture, and may lead to the development of severe complications due to the concomitance of complete optic nerve dissection and multiple traumas. Even if the luxated globe is repositioned into the orbit, there is still an increased risk of the development of phthisis due to ischemia.

No MeSH data available.


Related in: MedlinePlus

Patient's appearance on admission. Bilateral globes are outside the orbit with deep facial cuts and deformity of the jaw.
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Figure 1: Patient's appearance on admission. Bilateral globes are outside the orbit with deep facial cuts and deformity of the jaw.

Mentions: A 25-year-old female patient was admitted to the emergency service with multiple traumas following a motor vehicle accident. The patient was reported to have been riding in the back seat of the vehicle without the safety belt fastened when the vehicle rolled down an embankment. The patient was conscious but agitated. Bilateral globes were completely out of their sockets (fig. 1). During examination, the right pupil was dilated and bilaterally did not react to light. The patient had no light perception bilaterally. The right globe was intact in appearance but hypotonic. The anterior segment of the left globe was normal; however, the right fundus could not be visualized. The left eye fundus examination revealed patches of hemorrhage around the optic disk. The patient had deep cuts of 4 cm towards the right lateral section of the upper lip and 5 cm on the lower jaw.


Bilateral traumatic globe luxation with optic nerve transection.

Tok L, Tok OY, Argun TC, Yilmaz O, Gunes A, Unlu EN, Sezer S, Ibisoglu S, Argun M - Case Rep Ophthalmol (2014)

Patient's appearance on admission. Bilateral globes are outside the orbit with deep facial cuts and deformity of the jaw.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4296245&req=5

Figure 1: Patient's appearance on admission. Bilateral globes are outside the orbit with deep facial cuts and deformity of the jaw.
Mentions: A 25-year-old female patient was admitted to the emergency service with multiple traumas following a motor vehicle accident. The patient was reported to have been riding in the back seat of the vehicle without the safety belt fastened when the vehicle rolled down an embankment. The patient was conscious but agitated. Bilateral globes were completely out of their sockets (fig. 1). During examination, the right pupil was dilated and bilaterally did not react to light. The patient had no light perception bilaterally. The right globe was intact in appearance but hypotonic. The anterior segment of the left globe was normal; however, the right fundus could not be visualized. The left eye fundus examination revealed patches of hemorrhage around the optic disk. The patient had deep cuts of 4 cm towards the right lateral section of the upper lip and 5 cm on the lower jaw.

Bottom Line: The right pupil was dilated and bilaterally did not react to light.The globes of the patient were bilaterally reduced into the orbit.Even if the luxated globe is repositioned into the orbit, there is still an increased risk of the development of phthisis due to ischemia.

View Article: PubMed Central - PubMed

Affiliation: Department of Ophthalmology, Faculty of Medicine, Süleyman Demirel University, Isparta, Burdur, Turkey.

ABSTRACT

Purpose: The purpose of this study was to document clinical findings and management of a patient with bilateral globe luxation and optic nerve transection.

Materials and methods: A 25-year-old female patient was admitted to the emergency department with bilateral traumatic globe luxation following a motor vehicle accident.

Results: Visual acuity testing showed no light perception. The right pupil was dilated and bilaterally did not react to light. The globes were bilaterally intact. A computed tomography scan revealed Le Fort type II fractures, bilateral optic nerve transection and disruption of all extraocular muscles. The globes of the patient were bilaterally reduced into the orbit. However, the patient developed phthisis bulbi in the right eye at month 3.

Conclusion: Globe luxation presents a dramatic clinical picture, and may lead to the development of severe complications due to the concomitance of complete optic nerve dissection and multiple traumas. Even if the luxated globe is repositioned into the orbit, there is still an increased risk of the development of phthisis due to ischemia.

No MeSH data available.


Related in: MedlinePlus